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Individual
DR. DAVID A BURACK
Active
Individual
DR. DAVID A BURACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14896
SC
174400000X
Specialist
39768
NC
207RR0500X
Rheumatology Physician
Primary
14896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659374882
BLUE CROSS BLUE SHIELD
SC
01
—
19906
BLUE CROSS BLUE SHIELD
NC
05
—
NC8919906
—
NC
05
—
SC148968
—
SC
Enumeration date
05/23/2005
Last updated
12/17/2013
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