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General NPI Number Information
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NPI Number | 1649891417
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Entity Type | Individual
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Provider Name | DANIELLE BURTON LMFT-A
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Gender | Female
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Dates
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Enumeration Date | 05/02/2020
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Last Update Date | 05/02/2020
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Provider Practice Location Address
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Address Line | 945 E MAIN ST STE 5
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City | SPARTANBURG
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State | SC
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Zip | 29302-2119
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Country | US
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Telephone | 864-383-9002
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Fax |
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Provider Business Mailing Address
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Address Line | 100 VANDERBILT LN APT H12
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City | SPARTANBURG
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State | SC
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Zip | 29301-3102
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Country | US
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Telephone | 706-669-2566
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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 | 7044
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License Number State | SC
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