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General NPI Number Information
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NPI Number | 1477485654
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Entity Type | Individual
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Provider Name | JADE MARIE BURRISS AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA LOWR LEVEL
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-3707
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 FM 236
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City | VICTORIA
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State | TX
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Zip | 77905-3893
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Country | US
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Telephone | 361-894-4885
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81873
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License Number State | TX
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