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General NPI Number Information
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NPI Number | 1447268867
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Entity Type | Individual
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Provider Name | JESSICA T. BURKHAMER MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 729 WASHINGTON AVE N STE 600
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-1118
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Country | US
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Telephone | 323-205-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 615 SIERRA ROSE DR SUITE 4
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City | RENO
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State | NV
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Zip | 89511-2060
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Country | US
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Telephone | 775-826-1002
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Fax | 775-826-7575
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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 | 18207
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License Number State | MN
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