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General NPI Number Information
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NPI Number | 1871686907
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Entity Type | Individual
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Provider Name | HARRY B BURKE MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-938-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 12432 GRACE HILL LN
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City | GLEN ALLEN
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State | VA
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Zip | 23059-6936
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Country | US
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Telephone | 301-938-2212
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD33439
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License Number State | DC
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