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General NPI Number Information
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NPI Number | 1598480279
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Entity Type | Individual
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Provider Name | CATHERINE BURKE
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Gender | Female
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1901 FORT MYER DR STE 1104
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City | ARLINGTON
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State | VA
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Zip | 22209-1609
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Country | US
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Telephone | 703-239-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 WILSON BLVD SUITE 700 PMB260
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City | ARLINGTON
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State | VA
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Zip | 22209-1109
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Country | US
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Telephone | 703-239-3503
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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 | 0904011392
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904011392
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License Number State | VA
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