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1174607048 NPI number — RODNEY PAUL LAY BSW

NPI Number: 1174607048
Health Care Provider/Practitioner: RODNEY PAUL LAY BSW

Information about “1174607048” NPI (RODNEY PAUL LAY BSW) exists in 1174607048 in HTML format HTML  |  1174607048 in plain Text format TXT  |  1174607048 in PDF (Portable Document Format) PDF  |  1174607048 in an XML format XML  formats.

NPI Number : 1174607048 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174607048",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAY",
    "FirstName": "RODNEY",
    "MiddleName": "PAUL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "50 A CAMBRIDGE ARMS APTS",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-309-8359",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "109 BRADFORD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28301-5401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-323-0601",
    "PracticeLocationAddressFaxNumber": "910-323-2916",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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