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General NPI Number Information
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NPI Number | 1609291145
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Entity Type | Individual
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Provider Name | NADIRAH JAMILAH BURRIS MS REHAB COUNSELING
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Gender | Female
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 101 PARK AVE STE 1300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-7216
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 5604 EVANBROOK TER
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City | OKLAHOMA CITY
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State | OK
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Zip | 73135-1508
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Country | US
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Telephone | 405-657-4180
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Fax | 405-605-0599
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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 | 00115681
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 301797
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 006121
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License Number State | OK
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