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1003003369 NPI number — TATIANA MILDRED ZENTZ MSED.

NPI Number: 1003003369
Health Care Provider/Practitioner: TATIANA MILDRED ZENTZ MSED.

Information about “1003003369” NPI (TATIANA MILDRED ZENTZ MSED.) exists in 1003003369 in HTML format HTML  |  1003003369 in plain Text format TXT  |  1003003369 in PDF (Portable Document Format) PDF  |  1003003369 in an XML format XML  formats.

NPI Number : 1003003369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003003369",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZENTZ",
    "FirstName": "TATIANA",
    "MiddleName": "MILDRED",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSED.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 41",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SILVER LAKE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14549-0041",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-507-0106",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "422 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARSAW",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14569-1023",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-786-8133",
    "PracticeLocationAddressFaxNumber": "585-786-9928",
    "EnumerationDate": "10/01/2007",
    "LastUpdateDate": "10/01/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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