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1164996872 NPI number — YARA RINA SALMAN LAC

NPI Number: 1164996872
Health Care Provider/Practitioner: YARA RINA SALMAN LAC

Information about “1164996872” NPI (YARA RINA SALMAN LAC) exists in 1164996872 in HTML format HTML  |  1164996872 in plain Text format TXT  |  1164996872 in PDF (Portable Document Format) PDF  |  1164996872 in an XML format XML  formats.

NPI Number : 1164996872 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164996872",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SALMAN",
    "FirstName": "YARA",
    "MiddleName": "RINA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21600 OXNARD ST STE 1800",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODLAND HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91367-7807",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-345-2345",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6 FOREST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARAMUS",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07652-5241",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "551-245-9090",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/15/2019",
    "LastUpdateDate": "12/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "04/28/2023",
    "NPIReactivationDate": "05/16/2023",
    "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": "37AC00710700",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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