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General NPI Number Information
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NPI Number | 1619654654
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Entity Type | Individual
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Provider Name | JASMINE BURGOS MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 700 TECH CENTER PKWY # 200-17
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 757-690-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 513 CORAL KEY PL APT 3C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4357
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Country | US
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Telephone | 856-993-3767
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701014821
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License Number State | VA
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