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General NPI Number Information
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NPI Number | 1528548385
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Entity Type | Individual
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Provider Name | LORIEN AUBREY BURROWS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 601 S BLACK HORSE PIKE
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-1837
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Country | US
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Telephone | 856-383-5695
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Fax |
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Provider Business Mailing Address
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Address Line | 232 LAKE AVE
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City | PITMAN
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State | NJ
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Zip | 08071-1316
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Country | US
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Telephone | 856-383-5695
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00438500
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License Number State | NJ
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