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General NPI Number Information
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NPI Number | 1952183386
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Entity Type | Organization
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Legal Business Name | RACHEL ADEL BURKE PSYD LLC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 6867 HEDGESVILLE RD
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City | HEDGESVILLE
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State | WV
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Zip | 25427
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Country | US
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Telephone | 304-315-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 253 FORT HILL FARM DR
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City | HEDGESVILLE
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State | WV
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Zip | 25427-6682
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Country | US
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Telephone | 304-579-3334
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Fax |
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Authorized Official
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Title or Position | OWNER AND PSYCHOLOGIST
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Name | DR. RACHEL ADEL BURKE
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Credential | PSY.D.
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Telephone | 304-315-2088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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