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General NPI Number Information
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NPI Number | 1629118781
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Entity Type | Individual
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Provider Name | DEBRA LOUISE BURTON NONE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 242 WEST SHAMROCK STREET
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City | PINEVILLE
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State | LA
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Zip | 71360-6439
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Country | US
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Telephone | 318-484-6334
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Fax | 318-484-6506
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Provider Business Mailing Address
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Address Line | 2411 DETROIT ST
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City | ALEXANDRIA
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State | LA
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Zip | 71302-4714
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Country | US
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Telephone | 318-448-6048
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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 | 2937
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License Number State | LA
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