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NPI Code Detail

MEDICARE: LINDA MARIE BURTON

MEDICARE: LINDA MARIE BURTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17086OTHERCAPROVIDER NUMBER

General Provider Information

NPI Number : 1427267426
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MARIE BURTON
Provider Business Mailing Address
First Line : 38651 37TH ST E
Second Line :
City : PALMDALE
State : CA
Zip : 93550-8120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44443 10TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3346
Country : US
Telephone Number : 661-726-2630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 01/30/2009

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