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1114939220 NPI number — VERNER DALMOND GODWIN LPC

NPI Number: 1114939220
Health Care Provider/Practitioner: VERNER DALMOND GODWIN LPC

Information about “1114939220” NPI (VERNER DALMOND GODWIN LPC) exists in 1114939220 in HTML format HTML  |  1114939220 in plain Text format TXT  |  1114939220 in PDF (Portable Document Format) PDF  |  1114939220 in an XML format XML  formats.

NPI Number : 1114939220 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114939220",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GODWIN",
    "FirstName": "VERNER",
    "MiddleName": "DALMOND",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "204 BURK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEL CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73115-2012",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-623-1454",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5540 E RENO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73117-8418",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-623-1454",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2006",
    "LastUpdateDate": "03/26/2019",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "6765",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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