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NPI 1841173978

NPI 1841173978 : CAIT PAULINE BURKE NP : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1841173978
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    Entity Type          |    Individual 
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    Provider Name        |    CAIT PAULINE BURKE NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/28/2025
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    111 W 24TH ST STE 300 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10011-1912
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    Country              |    US
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    Telephone            |    646-859-2339
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    931 JEFFERSON AVE APT 2 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11221-4002
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    Country              |    US
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    Telephone            |    201-370-2769
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    407333
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    License Number State |    NY
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