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General NPI Number Information
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NPI Number | 1861619777
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Entity Type | Individual
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Provider Name | MRS. SHARON KAYE BURCHIEL
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 520 DAKOTA RD
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2347
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Country | US
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Telephone | 937-592-0885
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Fax |
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Provider Business Mailing Address
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Address Line | 10035 CR 135
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City | KENTON
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State | OH
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Zip | 43326-9134
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Country | US
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Telephone | 419-673-8340
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN050287
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License Number State | OH
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