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General NPI Number Information
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NPI Number | 1952436875
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Entity Type | Organization
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Legal Business Name | BURKHAMMER & ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 1463 WARRENSVILLE CENTER RD SUITE 202
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-2676
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Country | US
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Telephone | 440-667-6441
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Fax |
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Provider Business Mailing Address
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Address Line | 10571 MAYFIELD RD
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City | CHESTERLAND
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State | OH
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Zip | 44026-2735
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Country | US
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Telephone | 440-667-6441
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | EUGENE J BURKHAMMER
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Credential | LPC
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Telephone | 440-667-6441
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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 | 0008105
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License Number State | OH
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