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General NPI Number Information
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NPI Number | 1164522421
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Entity Type | Individual
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Provider Name | KELLY HYMAN BURKITT PHD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 7180 HIGHLAND DR 151C-H
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City | PITTSBURGH
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State | PA
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Zip | 15206-1206
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Country | US
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Telephone | 412-954-5202
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Fax | 412-954-5264
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Provider Business Mailing Address
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Address Line | 0 UNIVERSITY DRIVE (151C)
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City | PITTSBURGH
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State | PA
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Zip | 15240-1003
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Country | US
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Telephone | 412-360-2202
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS015657
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License Number State | PA
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