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General NPI Number Information
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NPI Number | 1720463144
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Entity Type | Individual
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Provider Name | KYLE PATRICK BURKS PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 801 MEBANE OAKS RD
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City | MEBANE
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State | NC
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Zip | 27302-7643
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Country | US
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Telephone | 919-563-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 8304 SPRING MEADOW DR
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City | CHAPEL HILL
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State | NC
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Zip | 27517-9065
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Country | US
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Telephone | 417-689-0834
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25402
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License Number State | NC
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