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NPI Code Detail

MEDICARE: RACHEL BURG MA., CCC-SLP

MEDICARE: RACHEL BURG MA., CCC-SLP
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
1235Z00000XSpeech-Language PathologistMN

General Provider Information

NPI Number : 1710753918
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BURG MA., CCC-SLP
Provider Business Mailing Address
First Line : 1027 HAMLET DR S
Second Line :
City : AVON
State : MN
Zip : 56310-9543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 402 RED RIVER AVE N
Second Line :
City : COLD SPRING
State : MN
Zip : 56320-1521
Country : US
Telephone Number : 320-204-6181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2023
Last Update Date : 11/29/2023

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Directions to “ RACHEL BURG MA., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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