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1134225972 NPI number — JENNIFER VANE, PH.D., P.C.

NPI Number: 1134225972
Health Care Provider/Practitioner: JENNIFER VANE, PH.D., P.C.

Information about “1134225972” NPI (JENNIFER VANE, PH.D., P.C.) exists in 1134225972 in HTML format HTML  |  1134225972 in plain Text format TXT  |  1134225972 in PDF (Portable Document Format) PDF  |  1134225972 in an XML format XML  formats.

NPI Number : 1134225972 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134225972",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JENNIFER VANE, PH.D., P.C.",
    "LastName": null,
    "FirstName": null,
    "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": "6704 VALBURN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78731-1802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-608-4079",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4409 MEDICAL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78756-3313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-495-9556",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/16/2006",
    "LastUpdateDate": "02/06/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MELROSE",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": "VANE",
    "AuthorizedOfficialTitle": "PRESIDENT LICENSED PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D.",
    "AuthorizedOfficialTelephoneNumber": "512-495-9556",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "32530",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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