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1053648550 NPI number — JANICE MARQUETTE MCMOORE CSAC

NPI Number: 1053648550
Health Care Provider/Practitioner: JANICE MARQUETTE MCMOORE CSAC

Information about “1053648550” NPI (JANICE MARQUETTE MCMOORE CSAC) exists in 1053648550 in HTML format HTML  |  1053648550 in plain Text format TXT  |  1053648550 in PDF (Portable Document Format) PDF  |  1053648550 in an XML format XML  formats.

NPI Number : 1053648550 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053648550",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCMOORE",
    "FirstName": "JANICE",
    "MiddleName": "MARQUETTE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CSAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "401 BEECHAM DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23227-1302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-918-0069",
    "MailingAddressFaxNumber": "804-918-1755",
    "FirstLinePracticeLocationAddress": "401 BEECHAM DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23227-1302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-918-0069",
    "PracticeLocationAddressFaxNumber": "804-918-1755",
    "EnumerationDate": "11/04/2009",
    "LastUpdateDate": "06/16/2015",
    "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": "0710101439",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "0701006071",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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