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General NPI Number Information
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NPI Number | 1992903421
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Entity Type | Individual
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Provider Name | BURKE L. O'NEAL M.D
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 16710 NE 226TH CIR
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4749
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Country | US
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Telephone | 208-890-6251
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Fax |
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Provider Business Mailing Address
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Address Line | 16710 NE 226TH CIR
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4749
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Country | US
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Telephone | 208-890-6251
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M-11275
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 7960639-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD.60200750
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License Number State | WA
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