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1134423429 NPI number — DEBORAH LYNN BASEDOW LMHC, NCC

NPI Number: 1134423429
Health Care Provider/Practitioner: DEBORAH LYNN BASEDOW LMHC, NCC

Information about “1134423429” NPI (DEBORAH LYNN BASEDOW LMHC, NCC) exists in 1134423429 in HTML format HTML  |  1134423429 in plain Text format TXT  |  1134423429 in PDF (Portable Document Format) PDF  |  1134423429 in an XML format XML  formats.

NPI Number : 1134423429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134423429",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BASEDOW",
    "FirstName": "DEBORAH",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMHC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HANSEN",
    "OtherFirstName": "DEBORAH",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2729 STONEWOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKELAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33810-4015",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-698-1806",
    "MailingAddressFaxNumber": "813-902-6081",
    "FirstLinePracticeLocationAddress": "911 S PARSONS AVE",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "BRANDON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33511-6070",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-698-1806",
    "PracticeLocationAddressFaxNumber": "813-902-6081",
    "EnumerationDate": "01/01/2011",
    "LastUpdateDate": "03/20/2017",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MH9680",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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