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General NPI Number Information
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NPI Number | 1750936084
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Entity Type | Organization
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Legal Business Name | DANIEL BURDICK, MD. LLC
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 226 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2488
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Country | US
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Telephone | 808-531-3511
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Fax |
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Provider Business Mailing Address
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Address Line | 95-1086 PAEMOKU PL
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City | MILILANI
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State | HI
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Zip | 96789-6524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL S BURDICK
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Credential | MD
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Telephone | 808-381-5404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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