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NPI Code Detail

MEDICARE: BECKY LYNNE BURGE

MEDICARE:   BECKY LYNNE BURGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003038159
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY LYNNE BURGE
Provider Business Mailing Address
First Line : 101 DYE CIRCLE
Second Line :
City : MARIETTA
State : OH
Zip : 45750-2630
Country : US
Telephone Number : 740-568-9990
Fax Number :
Provider Business Practice Location Address
First Line : 963 TICK HILL RD
Second Line :
City : LOWELL
State : OH
Zip : 45744-7486
Country : US
Telephone Number : 740-350-0863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/09/2007

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Directions to “ BECKY LYNNE BURGE ” Practice Location

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