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1144348236 NPI number — JARED PRESLEY DEMPSEY M.A.

NPI Number: 1144348236
Health Care Provider/Practitioner: JARED PRESLEY DEMPSEY M.A.

Information about “1144348236” NPI (JARED PRESLEY DEMPSEY M.A.) exists in 1144348236 in HTML format HTML  |  1144348236 in plain Text format TXT  |  1144348236 in PDF (Portable Document Format) PDF  |  1144348236 in an XML format XML  formats.

NPI Number : 1144348236 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144348236",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEMPSEY",
    "FirstName": "JARED",
    "MiddleName": "PRESLEY",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1305 ISLAND CLUB DR UNIT A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WANDO",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29492-8248",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-324-7388",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CENTER FOR DRUG AND ALCOHOL PROGRAMS, MUSC",
    "SecondLinePracticeLocationAddress": "67 PRESIDENT STREET",
    "PracticeLocationAddressCityName": "CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29425",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-792-2727",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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