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General NPI Number Information
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NPI Number | 1437297397
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Entity Type | Individual
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Provider Name | SARAH J BURKE M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 139 N MAIN ST
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1264
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Country | US
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Telephone | 860-570-2322
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Fax | 860-570-2286
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Provider Business Mailing Address
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Address Line | 20 GREEN HILL ST
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City | MANCHESTER
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State | CT
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Zip | 06040-4416
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Country | US
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Telephone | 860-643-7477
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 003132
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License Number State | CT
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