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1023581972 NPI number — JEFFREY ROZNOS CADC-INTERN

NPI Number: 1023581972
Health Care Provider/Practitioner: JEFFREY ROZNOS CADC-INTERN

Information about “1023581972” NPI (JEFFREY ROZNOS CADC-INTERN) exists in 1023581972 in HTML format HTML  |  1023581972 in plain Text format TXT  |  1023581972 in PDF (Portable Document Format) PDF  |  1023581972 in an XML format XML  formats.

NPI Number : 1023581972 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023581972",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROZNOS",
    "FirstName": "JEFFREY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CADC-INTERN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "900 W 1ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENO",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89503-5675",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 W 1ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89503-5675",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-322-8941",
    "PracticeLocationAddressFaxNumber": "775-322-1544",
    "EnumerationDate": "01/03/2019",
    "LastUpdateDate": "06/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "08008-S",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "07016-L",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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