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General NPI Number Information
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NPI Number | 1215634555
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Entity Type | Individual
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Provider Name | STACY ANN BURNS LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 184 W MAIN ST UNIT 202
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City | NORTON
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State | MA
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Zip | 02766-1243
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Country | US
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Telephone | 508-565-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 19 LONGMEADOW RD
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City | NORFOLK
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State | MA
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Zip | 02056-1509
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Country | US
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Telephone | 617-293-7723
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13442
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License Number State | MA
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