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General NPI Number Information
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NPI Number | 1790209781
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Entity Type | Individual
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Provider Name | JESSICA LYNNE BURKHART
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1262 LITITZ PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-4340
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Country | US
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Telephone | 717-290-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 1579 SLATE HILL RD
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City | PEACH BOTTOM
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State | PA
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Zip | 17563-9521
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Country | US
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Telephone | 717-725-0451
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP451638
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License Number State | PA
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