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General NPI Number Information
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NPI Number | 1558673459
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Entity Type | Individual
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Provider Name | JEFFREY DAVID BURT LPC, LAC
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Gender | Male
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5850 CENTRAL AVE UNIT 327
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City | WESTMINSTER
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State | CO
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Zip | 80031-2979
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Country | US
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Telephone | 720-636-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 5850 CENTRAL AVE UNIT 327
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City | WESTMINSTER
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State | CO
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Zip | 80031-2979
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Country | US
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Telephone | 720-636-5922
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180007370
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5795
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License Number State | CO
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