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General NPI Number Information
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NPI Number | 1972079101
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Entity Type | Individual
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Provider Name | GRACE ELIZABETH BURKE
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Gender | Female
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 205 LEXINGTON AVE FL 10
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City | NEW YORK
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State | NY
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Zip | 10016-6020
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Country | US
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Telephone | 212-335-0034
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Fax |
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Provider Business Mailing Address
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Address Line | 321 W 82ND ST APT 3
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City | NEW YORK
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State | NY
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Zip | 10024-5337
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Country | US
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Telephone | 203-451-1723
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 097208
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License Number State | NY
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