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General NPI Number Information
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NPI Number | 1912988502
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Entity Type | Individual
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Provider Name | ANN BISHOP BURKE MD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 1500 FOREST GLEN RD HC333
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City | SILVER SPRING
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State | MD
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Zip | 20910-1483
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Country | US
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Telephone | 301-754-7599
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Fax | 301-754-7599
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Provider Business Mailing Address
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Address Line | 1500 FOREST GLEN RD HC333
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City | SILVER SPRING
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State | MD
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Zip | 20910-1483
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Country | US
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Telephone | 301-754-7599
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Fax | 301-754-7599
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0036793
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License Number State | MD
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