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General NPI Number Information
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NPI Number | 1417824699
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Entity Type | Individual
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Provider Name | SARAH BURDICK
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 101 CHITTYVILLE RD
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City | HERRIN
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State | IL
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Zip | 62948-3552
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Country | US
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Telephone | 618-498-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 BRUNKHORST AVE
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City | GRAND TOWER
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State | IL
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Zip | 62942-1214
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.113223
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License Number State | IL
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