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General NPI Number Information
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NPI Number | 1336351527
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Entity Type | Organization
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Legal Business Name | MARION BURKHALTER AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 655 SYCAMORE LANE
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City | OWINGS
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State | MD
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Zip | 20736
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Country | US
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Telephone | 410-257-7440
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Fax | 410-257-7147
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Provider Business Mailing Address
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Address Line | 655 SYCAMORE LANE
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City | OWINGS
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State | MD
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Zip | 20736
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Country | US
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Telephone | 410-257-7440
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Fax | 410-257-7147
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARION L. BURKHALTER
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Credential | L.C.S.W.C.
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Telephone | 410-257-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 01497
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License Number State | MD
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