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General NPI Number Information
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NPI Number | 1336577246
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Entity Type | Individual
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Provider Name | LINDA LEE BURDICK EDS, NCSP, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2013
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 8420 SANGRE DE CRISTO RD
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City | LITTLETON
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State | CO
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Zip | 80127-4201
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Country | US
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Telephone | 970-712-2542
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Fax |
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Provider Business Mailing Address
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Address Line | 8420 S SANGRE DE CRISTO RD
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City | LITTLETON
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State | CO
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Zip | 80127
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Country | US
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Telephone | 303-972-7433
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 124311
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0012917
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License Number State | CO
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