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General NPI Number Information
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NPI Number | 1720271372
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Entity Type | Individual
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Provider Name | CHERYL ANN BURKE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 400 18TH ST # D - 2
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City | VERO BEACH
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State | FL
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Zip | 32960-5682
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Country | US
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Telephone | 772-770-5813
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 35TH LN #204 A
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City | VERO BEACH
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State | FL
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Zip | 32960-6521
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Country | US
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Telephone | 772-563-4480
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Fax | 772-563-4521
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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 | SW5721
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License Number State | FL
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