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General NPI Number Information
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NPI Number | 1114702883
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Entity Type | Individual
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Provider Name | MONICA R BURNS LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 4304 S BEARFIELD RD
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City | COLUMBIA
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State | MO
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Zip | 65201-9557
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Country | US
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Telephone | 844-424-3577
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 SKYE WYND
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City | COLUMBIA
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State | MO
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Zip | 65203-1234
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Country | US
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Telephone | 417-540-9336
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2023035496
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License Number State | MO
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