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General NPI Number Information
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NPI Number | 1467908798
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Entity Type | Individual
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Provider Name | MEGAN BURTON MSW, CISW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | #2A ESTATE MT. WASHINGTON
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City | FREDERIKSTED
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State | VI
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Zip | 00840
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Country | US
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Telephone | 340-473-0782
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 222611
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City | CHRISTIANSTED
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State | VI
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Zip | 00822-2611
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Country | US
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Telephone | 340-473-0782
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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 | 2-35104-1B
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License Number State | VI
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