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General NPI Number Information
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NPI Number | 1972878833
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Entity Type | Individual
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Provider Name | EMILY N BURCH MSW, LCSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 75 ORPHANAGE RD
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City | FT MITCHELL
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State | KY
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Zip | 41017-3006
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Country | US
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Telephone | 859-331-2040
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Fax | 859-331-7847
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Provider Business Mailing Address
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Address Line | 75 ORPHANAGE ROAD
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City | FT. MITCHELL
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State | KY
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Zip | 41017-0007
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Country | US
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Telephone | 859-331-2040
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Fax | 859-331-7847
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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.1451346
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5059
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License Number State | KY
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