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General NPI Number Information
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NPI Number | 1720403058
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Entity Type | Individual
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Provider Name | LORI BURNS
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Gender | Female
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 3125 ROUTE 9W SUITE 201
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6763
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Country | US
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Telephone | 914-502-3998
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Fax | 186-694-2155
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Provider Business Mailing Address
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Address Line | 342 BOXBERGER RD
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-1500
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Country | US
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Telephone | 914-548-3332
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Fax | 914-219-1148
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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 | 056673
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License Number State | NY
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