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General NPI Number Information
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NPI Number | 1922770940
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Entity Type | Individual
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Provider Name | KRISTY LOVELL BURCH APRN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1 TAMPA GENERAL CIR
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City | TAMPA
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State | FL
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Zip | 33606-3571
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Country | US
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Telephone | 813-844-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 TERESA CIR APT G
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City | TAMPA
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State | FL
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Zip | 33629-6148
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Country | US
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Telephone | 321-960-0719
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11012380
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License Number State | FL
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