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NPI Code Detail

MEDICARE: DANA BURCH

MEDICARE: DANA BURCH
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1316642648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA BURCH
Provider Business Mailing Address
First Line : PO BOX 1115
Second Line :
City : PINEVILLE
State : NC
Zip : 28134-1115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BERKS WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6598
Country : US
Telephone Number : 919-900-7438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 04/04/2023

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Directions to “ DANA BURCH ” Practice Location

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