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1235291691 NPI number — GAIL DENISE BENNETT LCSW

NPI Number: 1235291691
Health Care Provider/Practitioner: GAIL DENISE BENNETT LCSW

Information about “1235291691” NPI (GAIL DENISE BENNETT LCSW) exists in 1235291691 in HTML format HTML  |  1235291691 in plain Text format TXT  |  1235291691 in PDF (Portable Document Format) PDF  |  1235291691 in an XML format XML  formats.

NPI Number : 1235291691 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235291691",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BENNETT",
    "FirstName": "GAIL",
    "MiddleName": "DENISE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "300 W HOSPITAL RD",
    "SecondLineMailingAddress": "EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS",
    "MailingAddressCityName": "FORT GORDON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30905-5650",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-787-2420",
    "MailingAddressFaxNumber": "706-787-8180",
    "FirstLinePracticeLocationAddress": "DDEAMC 300 E HOSPITAL ROAD 13A-10",
    "SecondLinePracticeLocationAddress": "BLDG. 40701",
    "PracticeLocationAddressCityName": "FORT GORDON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30905",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-787-2420",
    "PracticeLocationAddressFaxNumber": "706-787-8180",
    "EnumerationDate": "12/14/2006",
    "LastUpdateDate": "09/10/2013",
    "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": "CSW002555",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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