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1063460574 NPI number — LYNN T. MELTON LMSW

NPI Number: 1063460574
Health Care Provider/Practitioner: LYNN T. MELTON LMSW

Information about “1063460574” NPI (LYNN T. MELTON LMSW) exists in 1063460574 in HTML format HTML  |  1063460574 in plain Text format TXT  |  1063460574 in PDF (Portable Document Format) PDF  |  1063460574 in an XML format XML  formats.

NPI Number : 1063460574 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063460574",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MELTON",
    "FirstName": "LYNN",
    "MiddleName": "T.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TURBEVILLE",
    "OtherFirstName": "LYNN",
    "OtherMiddleName": "T.",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "215 N MAGNOLIA ST",
    "SecondLineMailingAddress": "SWCMHC",
    "MailingAddressCityName": "SUMTER",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29150-4943",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-775-9364",
    "MailingAddressFaxNumber": "803-773-6615",
    "FirstLinePracticeLocationAddress": "1175 N GUIGNARD DR",
    "SecondLinePracticeLocationAddress": "SWCMHC/CAF",
    "PracticeLocationAddressCityName": "SUMTER",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29150-1519",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-775-7898",
    "PracticeLocationAddressFaxNumber": "803-773-5246",
    "EnumerationDate": "05/05/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "87",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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