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General NPI Number Information
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NPI Number | 1942543582
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Entity Type | Individual
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Provider Name | SHAMBRHEE BURTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 7701 S ZERO ST
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City | FORT SMITH
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State | AR
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Zip | 72903-6644
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Country | US
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Telephone | 479-478-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 EDINBURGH DR
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City | FORT SMITH
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State | AR
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Zip | 72908-8061
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Country | US
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Telephone | 501-733-1013
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8214-C
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License Number State | AR
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