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General NPI Number Information
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NPI Number | 1275892507
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Entity Type | Individual
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Provider Name | CATHERINE WORD BURTON M.A., LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 1500 CORPORATE CIR SUITES 10 -11
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5953
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Country | US
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Telephone | 817-416-0738
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Fax |
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Provider Business Mailing Address
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Address Line | 615 TERRACE LN
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City | COLLEYVILLE
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State | TX
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Zip | 76034-7594
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Country | US
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Telephone | 214-793-6306
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14559 LPC
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 004959 LMFT
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License Number State | TX
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