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NPI 1033003256

NPI 1033003256 : CHRIS BURNER SOMATIC PSYCHOTHERAPY, PLLC : DURHAM, NC

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General NPI Number Information
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    NPI Number           |    1033003256
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIS BURNER SOMATIC PSYCHOTHERAPY, PLLC 
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Dates
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    Enumeration Date     |    06/03/2025
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    Last Update Date     |    06/03/2025
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Provider Practice Location Address
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    Address Line         |    1010 LAMOND AVE 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27701-2021
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    Country              |    US
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    Telephone            |    646-408-6233
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1010 LAMOND AVE 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27701-2021
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOCTOR OF SOCIAL WORK/THERAPIST
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    Name                 |    DR. CHRISTOPHER AARON BURNER 
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    Credential           |    DSW, LCSW
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    Telephone            |    646-408-6233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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