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General NPI Number Information
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NPI Number | 1629959598
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Entity Type | Individual
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Provider Name | GWENDOLYN MARIE BURNS
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 546 AVENUE A
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City | PLATTSMOUTH
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State | NE
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Zip | 68048-1993
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Country | US
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Telephone | 402-298-4215
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Fax |
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Provider Business Mailing Address
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Address Line | 15103 S 17TH ST # NE68123
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City | BELLEVUE
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State | NE
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Zip | 68123-6830
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Country | US
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Telephone | 402-598-0522
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 14536
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 8254
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License Number State | NE
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