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General NPI Number Information
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NPI Number | 1023238581
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Entity Type | Individual
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Provider Name | LISA M BURNS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 26926 W HEMLOCK RD
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City | CHANNAHON
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State | IL
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Zip | 60410-3391
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Country | US
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Telephone | 630-267-5325
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Fax | 815-467-0257
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Provider Business Mailing Address
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Address Line | 2634 WOODWORTH PL
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City | HAZEL CREST
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State | IL
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Zip | 60429-1773
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Country | US
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Telephone | 312-497-7820
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | IL
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