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1063727618 NPI number — DAN SUMMER LCAT

NPI Number: 1063727618
Health Care Provider/Practitioner: DAN SUMMER LCAT

Information about “1063727618” NPI (DAN SUMMER LCAT) exists in 1063727618 in HTML format HTML  |  1063727618 in plain Text format TXT  |  1063727618 in PDF (Portable Document Format) PDF  |  1063727618 in an XML format XML  formats.

NPI Number : 1063727618 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063727618",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUMMER",
    "FirstName": "DAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SUMMER",
    "OtherFirstName": "DANIEL",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCAT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "6510 99TH ST STE LL1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REGO PARK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11374-3536",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-541-2509",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6510 99TH ST STE LL1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REGO PARK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11374-3536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-541-2509",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2010",
    "LastUpdateDate": "01/30/2013",
    "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": "221700000X",
        "TaxonomyName": "Art Therapist",
        "LicenseNumber": "000587",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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