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1174754535 NPI number — CHERYL ANN PREVOT M.S.S.W.

NPI Number: 1174754535
Health Care Provider/Practitioner: CHERYL ANN PREVOT M.S.S.W.

Information about “1174754535” NPI (CHERYL ANN PREVOT M.S.S.W.) exists in 1174754535 in HTML format HTML  |  1174754535 in plain Text format TXT  |  1174754535 in PDF (Portable Document Format) PDF  |  1174754535 in an XML format XML  formats.

NPI Number : 1174754535 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174754535",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PREVOT",
    "FirstName": "CHERYL",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CONNOR",
    "OtherFirstName": "CHERYL",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6004 N BELMONT WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARKER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80134-5502",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-841-4881",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19673 SOLAR CIR",
    "SecondLinePracticeLocationAddress": "SUITE #202",
    "PracticeLocationAddressCityName": "PARKER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80134-7373",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-220-6005",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/04/2009",
    "LastUpdateDate": "08/04/2009",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "CSW 989061",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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