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General NPI Number Information
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NPI Number | 1124986401
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Entity Type | Individual
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Provider Name | DEBORAH BURNETT PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 311 S CLARK ST
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City | CARROLL
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State | IA
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Zip | 51401-3038
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Country | US
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Telephone | 712-794-5435
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Fax | 712-794-5751
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Provider Business Mailing Address
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Address Line | 311 S CLARK ST
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City | CARROLL
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State | IA
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Zip | 51401-3038
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Country | US
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Telephone | 712-794-5435
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Fax | 712-794-5751
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G188790
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License Number State | IA
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