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General NPI Number Information
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NPI Number | 1861673188
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Entity Type | Organization
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Legal Business Name | BURKA INTERNAL MEDICINE ASSOCIATES, PA
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 4607 CONNECTICUT AVE NW 006
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City | WASHINGTON
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State | DC
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Zip | 20008-5751
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Country | US
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Telephone | 202-966-5766
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 CONNECTICUT AVE NW 006
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City | WASHINGTON
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State | DC
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Zip | 20008-5751
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Country | US
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Telephone | 202-966-5766
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRETT LEWIS BURKA
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Credential | M.D.
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Telephone | 202-966-5766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD9170
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License Number State | DC
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