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General NPI Number Information
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NPI Number | 1417021155
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Entity Type | Organization
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Legal Business Name | MOLLY M. BURNS, PSY.D., P.C.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2222 S 16TH ST SUITE 210
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City | LINCOLN
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State | NE
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Zip | 68502-3796
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Country | US
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Telephone | 402-328-8300
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Fax | 402-328-8383
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Provider Business Mailing Address
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Address Line | 2222 S 16TH ST SUITE 210
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City | LINCOLN
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State | NE
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Zip | 68502-3796
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Country | US
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Telephone | 402-328-8300
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Fax | 402-328-8383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOLLY MARIE BURNS
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Credential | PSY.D
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Telephone | 402-328-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 293
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License Number State | NE
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