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General NPI Number Information
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NPI Number | 1972386332
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Entity Type | Individual
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Provider Name | CATHERINE CRANFORD BURKE MS
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Gender | Female
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 107 GRAY DRIVE
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City | GREENSBORO
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State | NC
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Zip | 27412-5034
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Country | US
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Telephone | 336-334-3543
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Fax |
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Provider Business Mailing Address
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Address Line | 404 ONEIDA ST
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City | GRAHAM
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State | NC
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Zip | 27253-2231
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Country | US
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Telephone | 803-269-7451
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A19014
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License Number State | NC
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