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General NPI Number Information
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NPI Number | 1538010665
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Entity Type | Individual
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Provider Name | ERIN CARSON BURNHAM
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 4110 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71105-2938
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Country | US
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Telephone | 318-868-6554
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Fax |
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Provider Business Mailing Address
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Address Line | 7717 CHESAPEAKE DR
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City | SHREVEPORT
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State | LA
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Zip | 71105-5720
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Country | US
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Telephone | 318-230-8470
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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 | 16015
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License Number State | LA
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