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General NPI Number Information
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NPI Number | 1801435359
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Entity Type | Individual
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Provider Name | JENNIFER BURKY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 15 MOTT ST
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City | HARMAN
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State | WV
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Zip | 26270
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Country | US
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Telephone | 304-227-4134
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Fax | 855-332-1388
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Provider Business Mailing Address
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Address Line | 15 MOTT ST
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City | HARMAN
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State | WV
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Zip | 26270
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Country | US
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Telephone | 304-227-4134
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Fax | 855-332-1388
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 77628
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 104662
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License Number State | WV
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