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General NPI Number Information
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NPI Number | 1770923609
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Entity Type | Individual
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Provider Name | LYNN MARIE BURBANK N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 3601 A ST ST CHRISTOPHER'S HOSPITAL FOR CHILDREN
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 215-427-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 ROSEMONT LN
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City | ABINGTON
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State | PA
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Zip | 19001-3902
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Country | US
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Telephone | 215-292-1070
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | UP006553D
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License Number State | PA
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