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General NPI Number Information
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NPI Number | 1235261793
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Entity Type | Individual
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Provider Name | APRIL M BURRIS DEVELOPMENTAL THERAP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 6280 S MT ZION RD
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City | CONNERSVILLE
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State | IN
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Zip | 47331-8987
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Country | US
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Telephone | 765-265-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 6280 S MT ZION RD
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City | CONNERSVILLE
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State | IN
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Zip | 47331-8987
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Country | US
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Telephone | 765-265-7828
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 966985
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License Number State | IN
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