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General NPI Number Information
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NPI Number | 1952037491
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Entity Type | Individual
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Provider Name | COLLEEN A BURGIO
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Gender | Female
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 203 PORT ROYAL DR
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City | SAVANNAH
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State | GA
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Zip | 31410-3006
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Country | US
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Telephone | 912-665-8756
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Fax |
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Provider Business Mailing Address
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Address Line | 2763 MEADOW CHURCH RD
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City | DULUTH
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State | GA
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Zip | 30097-4989
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Country | US
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Telephone | 770-508-0719
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Fax | 888-838-0381
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN142200
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License Number State | GA
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