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1194831081 NPI number — STEPHEN LEE LINVILLE ED D

NPI Number: 1194831081
Health Care Provider/Practitioner: STEPHEN LEE LINVILLE ED D

Information about “1194831081” NPI (STEPHEN LEE LINVILLE ED D) exists in 1194831081 in HTML format HTML  |  1194831081 in plain Text format TXT  |  1194831081 in PDF (Portable Document Format) PDF  |  1194831081 in an XML format XML  formats.

NPI Number : 1194831081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194831081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LINVILLE",
    "FirstName": "STEPHEN",
    "MiddleName": "LEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ED D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1708 NE 17TH WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FT LAUDERDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-568-6628",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1323 SE 4TH AVE",
    "SecondLinePracticeLocationAddress": "BLDG B",
    "PracticeLocationAddressCityName": "FT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33316",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-462-6454",
    "PracticeLocationAddressFaxNumber": "954-467-8439",
    "EnumerationDate": "08/22/2006",
    "LastUpdateDate": "09/11/2025",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "056",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "0534",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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