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General NPI Number Information
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NPI Number | 1811240617
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Entity Type | Individual
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Provider Name | ELISSA DEANNE BURDICK MA, NBC-HWC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 8 SANDERSON ST FL 1
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City | GREENFIELD
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State | MA
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Zip | 01301-2712
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Country | US
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Telephone | 413-336-5894
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Fax |
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Provider Business Mailing Address
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Address Line | 103 DAVIS ST APT 2
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City | GREENFIELD
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State | MA
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Zip | 01301-2472
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Country | US
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Telephone | 413-336-5894
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10005216
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License Number State | MA
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