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General NPI Number Information
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NPI Number | 1023128956
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Entity Type | Individual
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Provider Name | KATHIE BURDICK OTR
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 661 BROOKSIDE DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-4710
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Country | US
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Telephone | 972-291-8368
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-357-0796
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 100734
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License Number State | TX
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