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General NPI Number Information
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NPI Number | 1730609983
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Entity Type | Individual
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Provider Name | MS. ARIELLE NICOLE BURKS
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Gender | Female
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 4201 N I 10 SERVICE RD W
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City | METAIRIE
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State | LA
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Zip | 70006-6713
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Country | US
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Telephone | 954-947-3749
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Fax |
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Provider Business Mailing Address
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Address Line | 5588 JUAREZ ST
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City | BATON ROUGE
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State | LA
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Zip | 70811-4021
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Country | US
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Telephone | 225-276-2894
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | LA
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