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General NPI Number Information
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NPI Number | 1598639221
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Entity Type | Individual
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Provider Name | ELIZABETH SARAH BURGOS APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 301 DIVISION ST
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City | GREENVILLE
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State | TX
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Zip | 75401-4188
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Country | US
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Telephone | 903-453-3362
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Fax | 903-453-3383
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Provider Business Mailing Address
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Address Line | 6604 DEL NORTE LN
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City | DALLAS
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State | TX
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Zip | 75225-2521
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Country | US
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Telephone | 214-738-8655
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1207776
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License Number State | TX
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