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1235776352 NPI number — ANGELA MLINARIC CPRS

NPI Number: 1235776352
Health Care Provider/Practitioner: ANGELA MLINARIC CPRS

Information about “1235776352” NPI (ANGELA MLINARIC CPRS) exists in 1235776352 in HTML format HTML  |  1235776352 in plain Text format TXT  |  1235776352 in PDF (Portable Document Format) PDF  |  1235776352 in an XML format XML  formats.

NPI Number : 1235776352 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235776352",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MLINARIC",
    "FirstName": "ANGELA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPRS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "23811 CHAGRIN BLVD STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEACHWOOD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44122-5525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-483-1001",
    "MailingAddressFaxNumber": "216-283-3901",
    "FirstLinePracticeLocationAddress": "23811 CHAGRIN BLVD STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEACHWOOD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44122-5525",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-483-1001",
    "PracticeLocationAddressFaxNumber": "216-283-3901",
    "EnumerationDate": "12/09/2019",
    "LastUpdateDate": "04/26/2024",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "181307",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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