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General NPI Number Information
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NPI Number | 1962725945
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Entity Type | Individual
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Provider Name | ROBERT S BURNSIDE LISW
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Gender | Male
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 4800 COLLEGE BLVD SUITE 102
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City | FARMINGTON
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State | NM
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Zip | 87402-4710
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Country | US
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Telephone | 505-326-3566
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Fax | 505-326-5698
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Provider Business Mailing Address
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Address Line | 4800 COLLEGE BLVD SUITE 102
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City | FARMINGTON
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State | NM
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Zip | 87402-4710
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Country | US
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Telephone | 505-326-3566
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Fax | 505-326-5698
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-05142
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License Number State | NM
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