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General NPI Number Information
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NPI Number | 1760411243
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Entity Type | Individual
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Provider Name | WILLIAM WALTER BURGIN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 1702 HORNE RD
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City | CORPUS CHRISTI
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State | TX
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Zip | 78416-1902
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Country | US
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Telephone | 361-884-8200
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Fax | 361-882-6649
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Provider Business Mailing Address
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Address Line | PO BOX 60107
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-0107
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Country | US
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Telephone | 361-884-8200
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Fax | 361-882-6649
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | E1998
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License Number State | TX
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