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1194611855 NPI number — DION MARCUS HANNA

NPI Number: 1194611855
Health Care Provider/Practitioner: DION MARCUS HANNA

Information about “1194611855” NPI (DION MARCUS HANNA) exists in 1194611855 in HTML format HTML  |  1194611855 in plain Text format TXT  |  1194611855 in PDF (Portable Document Format) PDF  |  1194611855 in an XML format XML  formats.

NPI Number : 1194611855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194611855",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANNA",
    "FirstName": "DION",
    "MiddleName": "MARCUS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11222 CORLISS AVE N UNIT D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98133-8569",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "458-245-1417",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1510 140TH AVE NE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98005-4572",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-543-7382",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/17/2025",
    "LastUpdateDate": "06/17/2025",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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