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General NPI Number Information
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NPI Number | 1629122494
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Entity Type | Individual
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Provider Name | CINDY ANN BURK M.S.,C.C.C.-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17999 W. SURPRISE FARMS LOOP SOUTH
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City | SURPRISE
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State | AZ
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Zip | 85388
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Country | US
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Telephone | 623-876-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 12414 W CORONET DR
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-5122
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Country | US
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Telephone | 623-877-1513
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP0118
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License Number State | AZ
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