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General NPI Number Information
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NPI Number | 1558838805
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Entity Type | Individual
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Provider Name | SHEENA RENEE BARRETT BURDEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 06/07/2020
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Provider Practice Location Address
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Address Line | 300 E ARLINGTON BLVD STE 9A
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City | GREENVILLE
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State | NC
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Zip | 27858-5050
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Country | US
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Telephone | 252-916-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 SADLER DR UNIT A
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City | WINTERVILLE
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State | NC
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Zip | 28590-9868
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Country | US
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Telephone | 252-916-5570
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Fax | 252-752-2228
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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 | C012714
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License Number State | NC
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