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General NPI Number Information
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NPI Number | 1821055203
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Entity Type | Individual
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Provider Name | DAVID T BURKE MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1441 CLIFTON RD NE # 118 EMORY REHAB CENTER
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City | ATLANTA
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State | GA
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Zip | 30322-1004
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Country | US
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Telephone | 404-712-5511
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Fax | 404-712-5895
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Provider Business Mailing Address
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Address Line | 1441 CLIFTON RD NE # 118 EMORY REHAB CENTER
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City | ATLANTA
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State | GA
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Zip | 30322-1004
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Country | US
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Telephone | 404-712-5511
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Fax | 404-712-5895
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 79484
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 060159
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License Number State | GA
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