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General NPI Number Information
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NPI Number | 1760896393
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Entity Type | Individual
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Provider Name | BARBARA DIANE BURKS LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 37104 MAIN ST STE A
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City | BURNEY
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State | CA
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Zip | 96013-4127
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Country | US
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Telephone | 530-335-3335
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Fax | 530-232-2289
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Provider Business Mailing Address
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Address Line | 21744 CASSEL RD
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City | CASSEL
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State | CA
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Zip | 96016-9529
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Country | US
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Telephone | 530-335-4713
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT111511
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License Number State | CA
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