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General NPI Number Information
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NPI Number | 1770768293
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Entity Type | Individual
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Provider Name | MR. ERIC JOSEPH BURKART
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Gender | Male
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 09/19/2009
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Provider Practice Location Address
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Address Line | 46 PINE ST
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City | DELMAR
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State | NY
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Zip | 12054-3414
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Country | US
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Telephone | 518-461-5986
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Fax | 518-439-9006
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Provider Business Mailing Address
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Address Line | 46 PINE ST
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City | DELMAR
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State | NY
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Zip | 12054-3414
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Country | US
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Telephone | 518-461-5986
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Fax | 518-439-9006
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number | 308032635
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License Number State | NY
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