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1235625591 NPI number — GEORGE OLIVER HARDIE III LPCA

NPI Number: 1235625591
Health Care Provider/Practitioner: GEORGE OLIVER HARDIE III LPCA

Information about “1235625591” NPI (GEORGE OLIVER HARDIE III LPCA) exists in 1235625591 in HTML format HTML  |  1235625591 in plain Text format TXT  |  1235625591 in PDF (Portable Document Format) PDF  |  1235625591 in an XML format XML  formats.

NPI Number : 1235625591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235625591",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARDIE",
    "FirstName": "GEORGE",
    "MiddleName": "OLIVER",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "LPCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "73 MADISON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28801-1935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-998-1348",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASHEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28801-2419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-998-1348",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/10/2018",
    "LastUpdateDate": "07/10/2018",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "A12996",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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