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1134325970 NPI number — THOMAS VERNON TALBOTT II LPC

NPI Number: 1134325970
Health Care Provider/Practitioner: THOMAS VERNON TALBOTT II LPC

Information about “1134325970” NPI (THOMAS VERNON TALBOTT II LPC) exists in 1134325970 in HTML format HTML  |  1134325970 in plain Text format TXT  |  1134325970 in PDF (Portable Document Format) PDF  |  1134325970 in an XML format XML  formats.

NPI Number : 1134325970 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134325970",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TALBOTT",
    "FirstName": "THOMAS",
    "MiddleName": "VERNON",
    "NamePrefix": "MR.",
    "NameSuffix": "II",
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "231 LAKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIRGINIA BEACH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23451-4400",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-731-3825",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "224 GREAT BRIDGE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESAPEAKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23320-3904",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-819-6158",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "20134",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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