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General NPI Number Information
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NPI Number | 1548134786
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Entity Type | Individual
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Provider Name | AUSTIN BURNS LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4001 E BASELINE RD STE 204
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City | GILBERT
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State | AZ
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Zip | 85234-2743
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Country | US
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Telephone | 480-565-6440
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Fax | 480-452-0691
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Provider Business Mailing Address
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Address Line | 625 W 1ST ST APT 248
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City | TEMPE
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State | AZ
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Zip | 85281-8235
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Country | US
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Telephone | 480-565-6440
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Fax | 480-452-0691
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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 | 23015
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License Number State | AZ
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