{
"Npi": {
"NPI": "1215021860",
"EntityType": "Individual",
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"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORENO",
"FirstName": "STEPHANIE",
"MiddleName": "OWEN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LMFT, ATR-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
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"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1445 NW 10 ST.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DANIA BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33004-2342",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-920-0391",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2231 N. UNIVERSITY DR.",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "PEMBROKE PINES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-989-8818",
"PracticeLocationAddressFaxNumber": "954-989-8812",
"EnumerationDate": "10/03/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MT 2143",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}