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General NPI Number Information
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NPI Number | 1497535934
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Entity Type | Organization
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Legal Business Name | BURNS VIRTUAL PSYCHOLOGICAL SOLUTIONS PC
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 9110 N LOOP 1604 W STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3397
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Country | US
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Telephone | 916-234-6323
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Fax |
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Provider Business Mailing Address
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Address Line | 9110 N LOOP 1604 W SUITE 104 PMB 1023
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/CEO
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Name | DR. JAZMIN L BURNS
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Credential | PSYD
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Telephone | 916-237-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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