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1134533722 NPI number — STEFANIE ROSE BURNS M.A.

NPI Number: 1134533722
Health Care Provider/Practitioner: STEFANIE ROSE BURNS M.A.

Information about “1134533722” NPI (STEFANIE ROSE BURNS M.A.) exists in 1134533722 in HTML format HTML  |  1134533722 in plain Text format TXT  |  1134533722 in PDF (Portable Document Format) PDF  |  1134533722 in an XML format XML  formats.

NPI Number : 1134533722 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134533722",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURNS",
    "FirstName": "STEFANIE",
    "MiddleName": "ROSE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1504 8TH AVE APT 2L",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11215-5677",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-788-4677",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2340 IRVING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN FRANCISCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94122-1641",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-788-4677",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/11/2014",
    "LastUpdateDate": "07/23/2018",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "22695",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "027828",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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