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1023786035 NPI number — LOGANN DALE COLLIN

NPI Number: 1023786035
Health Care Provider/Practitioner: LOGANN DALE COLLIN

Information about “1023786035” NPI (LOGANN DALE COLLIN) exists in 1023786035 in HTML format HTML  |  1023786035 in plain Text format TXT  |  1023786035 in PDF (Portable Document Format) PDF  |  1023786035 in an XML format XML  formats.

NPI Number : 1023786035 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023786035",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLLIN",
    "FirstName": "LOGANN",
    "MiddleName": "DALE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARRIS",
    "OtherFirstName": "LOGANN",
    "OtherMiddleName": "DALE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "915 16TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEARNEY",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68845-6503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-870-6281",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "915 16TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEARNEY",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68845-6503",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-870-6281",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2021",
    "LastUpdateDate": "02/14/2023",
    "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": "1041S0200X",
          "TaxonomyName": "School Social Worker",
          "LicenseNumber": "12731",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "7653",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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