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1164248225 NPI number — MRS. LAURINDA MARGARET STEPHENS

NPI Number: 1164248225
Health Care Provider/Practitioner: MRS. LAURINDA MARGARET STEPHENS

Information about “1164248225” NPI (MRS. LAURINDA MARGARET STEPHENS) exists in 1164248225 in HTML format HTML  |  1164248225 in plain Text format TXT  |  1164248225 in PDF (Portable Document Format) PDF  |  1164248225 in an XML format XML  formats.

NPI Number : 1164248225 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164248225",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEPHENS",
    "FirstName": "LAURINDA",
    "MiddleName": "MARGARET",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JONES",
    "OtherFirstName": "LAURINDA",
    "OtherMiddleName": "MARGARET",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7058 E IL ROUTE 72 LOT 5",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STILLMAN VALLEY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61084-9620",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-289-3045",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "332 S MICHIGAN AVE STE 900",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60604-4393",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-491-8403",
    "PracticeLocationAddressFaxNumber": "772-675-9100",
    "EnumerationDate": "11/22/2024",
    "LastUpdateDate": "11/22/2024",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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