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General NPI Number Information
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NPI Number | 1447171574
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Entity Type | Individual
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Provider Name | JANE BURNHAM
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Gender | Female
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 5400 DEVONSHIRE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-2841
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Country | US
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Telephone | 501-249-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 5611 MURDOCH AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-2868
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Country | US
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Telephone | 501-249-3386
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2024026411
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License Number State | MO
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