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NPI 1710364831

NPI 1710364831 : KASEY BURR : NORTHAMPTON, MA

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General NPI Number Information
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    NPI Number           |    1710364831
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    Entity Type          |    Individual 
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    Provider Name        |    KASEY BURR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/27/2015
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    Last Update Date     |    04/27/2015
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Provider Practice Location Address
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    Address Line         |    8 ATWOOD DR SUITE 301
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-4272
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    Country              |    US
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    Telephone            |    413-773-1314
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24 PIONEER DR 
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    City                 |    DUXBURY
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    State                |    MA
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    Zip                  |    02332-4224
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    Country              |    US
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    Telephone            |    339-832-3076
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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       |    
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    License Number State |    
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