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General NPI Number Information
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NPI Number | 1982844189
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Entity Type | Organization
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Legal Business Name | BILLIE L. BURKE, M.A., L.P.C., P.C.
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 500 W 15TH ST SUITE 2
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City | EDMOND
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State | OK
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Zip | 73013-3748
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Country | US
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Telephone | 405-348-6054
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Fax | 405-348-6180
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Provider Business Mailing Address
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Address Line | 500 W 15TH ST SUITE 2
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City | EDMOND
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State | OK
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Zip | 73013-3748
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Country | US
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Telephone | 405-348-6054
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Fax | 405-348-6180
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BILLIE L BURKE
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Credential | L.P.C.
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Telephone | 405-348-6054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3004
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License Number State | OK
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