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General NPI Number Information
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NPI Number | 1669513511
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Entity Type | Individual
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Provider Name | BARBARA BURRELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 57 PLAINS RD
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City | MILFORD
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State | CT
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Zip | 06461-2573
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Country | US
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Telephone | 203-877-1766
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Fax | 203-605-6755
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Provider Business Mailing Address
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Address Line | 374 AUGUSTA DR
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City | ORANGE
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State | CT
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Zip | 06477-2716
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Country | US
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Telephone | 203-795-5933
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Fax | 203-877-8053
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 000663
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License Number State | CT
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