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1053825547 NPI number — CURT BRECKENRIDGE MUNDIS LMSW

NPI Number: 1053825547
Health Care Provider/Practitioner: CURT BRECKENRIDGE MUNDIS LMSW

Information about “1053825547” NPI (CURT BRECKENRIDGE MUNDIS LMSW) exists in 1053825547 in HTML format HTML  |  1053825547 in plain Text format TXT  |  1053825547 in PDF (Portable Document Format) PDF  |  1053825547 in an XML format XML  formats.

NPI Number : 1053825547 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053825547",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUNDIS",
    "FirstName": "CURT",
    "MiddleName": "BRECKENRIDGE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUNDIS",
    "OtherFirstName": "BRECK",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "10024 W 118TH TER APT 301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OVERLAND PARK",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66210-3100",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-682-8065",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11011 KING ST STE 237",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OVERLAND PARK",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66210-3210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-735-9433",
    "PracticeLocationAddressFaxNumber": "913-871-3133",
    "EnumerationDate": "11/21/2017",
    "LastUpdateDate": "11/21/2017",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "10146",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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