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General NPI Number Information
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NPI Number | 1841138286
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Entity Type | Individual
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Provider Name | MARION URSULA BURKE PHD, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 3900 JERMANTOWN RD STE 460
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City | FAIRFAX
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State | VA
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Zip | 22030-4900
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Country | US
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Telephone | 571-264-8192
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Fax |
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Provider Business Mailing Address
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Address Line | 7106 BEAR CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1301
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Country | US
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Telephone | 703-400-9551
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701016031
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0811000980
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License Number State | VA
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