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General NPI Number Information
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NPI Number | 1679671077
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Entity Type | Individual
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Provider Name | MARLENE BURKE LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 DEY ST SUITE #402
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City | NEW YORK
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State | NY
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Zip | 10007
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Country | US
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Telephone | 212-786-1230
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Fax | 212-608-9808
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Provider Business Mailing Address
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Address Line | 300 RECTOR PL #7M
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City | NEW YORK
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State | NY
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Zip | 10280-1420
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Country | US
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Telephone | 212-786-1230
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Fax | 212-608-9808
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | NYS27702R
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License Number State | NY
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