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General NPI Number Information
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NPI Number | 1790825271
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Entity Type | Individual
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Provider Name | CHERYL BURNS BA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3535 STATE ROUTE 66 BLDG 5 SUITE D
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City | NEPTUNE
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State | NJ
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Zip | 07753-2622
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Country | US
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Telephone | 732-643-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 18 BAMBERRY LN
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City | TOMS RIVER
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State | NJ
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Zip | 08755-4044
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Country | US
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Telephone | 732-610-5481
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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