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General NPI Number Information
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NPI Number | 1023619640
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Entity Type | Individual
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Provider Name | LAUREN BURKETT MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 101 ISADORE ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5747
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Country | US
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Telephone | 318-238-2810
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Fax |
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Provider Business Mailing Address
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Address Line | 17724 HIGHWAY 174
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City | CONVERSE
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State | LA
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Zip | 71419-3415
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Country | US
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Telephone | 318-315-4339
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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 | 324857
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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