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General NPI Number Information
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NPI Number | 1952668758
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Entity Type | Individual
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Provider Name | ALICIA ELIZABETH BURKHART RPH
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 2647 N 6TH ST
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City | HARRISBURG
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State | PA
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Zip | 17110-2641
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Country | US
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Telephone | 717-236-9094
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Fax | 717-236-9052
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Provider Business Mailing Address
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Address Line | 457 KENNEDY DR
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City | HARRISBURG
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State | PA
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Zip | 17112-3164
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Country | US
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Telephone | 717-671-1858
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP038530L
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License Number State | PA
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