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General NPI Number Information
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NPI Number | 1750449500
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Entity Type | Individual
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Provider Name | VELMA JEAN BURKE APRN BC GNP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 1012 JAMESTOWN WAY
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City | MARYVILLE
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State | TN
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Zip | 37803-5865
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Country | US
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Telephone | 865-984-1600
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Fax | 865-238-8308
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Provider Business Mailing Address
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Address Line | 3697 MISER STATION RD
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City | LOUISVILLE
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State | TN
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Zip | 37777-3510
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Country | US
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Telephone | 865-983-2812
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Fax | 865-981-2836
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4776990
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License Number State | TN
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