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General NPI Number Information
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NPI Number | 1790871085
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Entity Type | Individual
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Provider Name | CASEY JAMES BURKE D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 109 TERRACE DR
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City | OLYPHANT
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State | PA
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Zip | 18447-2501
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Country | US
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Telephone | 570-483-4603
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Fax | 570-319-1250
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Provider Business Mailing Address
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Address Line | 109 TERRACE DR
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City | OLYPHANT
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State | PA
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Zip | 18447-2501
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Country | US
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Telephone | 570-483-4603
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Fax | 570-319-1250
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 2014012292
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 5101014881
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 044194
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | OS014855
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 540
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS014855
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License Number State | PA
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