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General NPI Number Information
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NPI Number | 1972527257
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Entity Type | Individual
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Provider Name | MERYL LEE BURCHARDT APRN, ACNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 7125 NEW SANGER AVE STE A
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City | WACO
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State | TX
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Zip | 76712-4054
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Country | US
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Telephone | 254-399-5400
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Fax | 254-772-8669
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Provider Business Mailing Address
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Address Line | PO BOX 21327
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City | WACO
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State | TX
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Zip | 76702-1327
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Country | US
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Telephone | 254-399-5400
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Fax | 254-772-8669
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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 | 113520
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License Number State | TX
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