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General NPI Number Information
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NPI Number | 1972583482
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Entity Type | Individual
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Provider Name | SANDRA MICHELLE BURKE RNFA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5618 MEDICAL CENTER DR
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City | KATY
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State | TX
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Zip | 77494-6308
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Country | US
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Telephone | 281-392-6797
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Fax | 281-392-3666
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Provider Business Mailing Address
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Address Line | 14114 MARY SUE CT
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City | SUGAR LAND
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State | TX
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Zip | 77478-2371
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Country | US
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Telephone | 281-392-6797
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Fax | 281-392-3666
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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 | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 545490
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License Number State | TX
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