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1093247967 NPI number — AUDREY FARBER

NPI Number: 1093247967
Health Care Provider/Practitioner: AUDREY FARBER

Information about “1093247967” NPI (AUDREY FARBER) exists in 1093247967 in HTML format HTML  |  1093247967 in plain Text format TXT  |  1093247967 in PDF (Portable Document Format) PDF  |  1093247967 in an XML format XML  formats.

NPI Number : 1093247967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093247967",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FARBER",
    "FirstName": "AUDREY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1231 116TH AVE NE STE 410",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELLEVUE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98004-3804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1231 116TH AVE NE STE 410",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98004-3804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-749-5484",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/30/2017",
    "LastUpdateDate": "11/24/2020",
    "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": "CO60894844",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LH61057129",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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