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1245919570 NPI number — TAMAR SAMARIA DANDRIDGE LPC

NPI Number: 1245919570
Health Care Provider/Practitioner: TAMAR SAMARIA DANDRIDGE LPC

Information about “1245919570” NPI (TAMAR SAMARIA DANDRIDGE LPC) exists in 1245919570 in HTML format HTML  |  1245919570 in plain Text format TXT  |  1245919570 in PDF (Portable Document Format) PDF  |  1245919570 in an XML format XML  formats.

NPI Number : 1245919570 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245919570",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANDRIDGE",
    "FirstName": "TAMAR",
    "MiddleName": "SAMARIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "502 FRANK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWPORT NEWS",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23606-2111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7025 HARBOUR VIEW BLVD STE 119",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUFFOLK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23435-2762",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-945-1193",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2023",
    "LastUpdateDate": "07/16/2023",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "0701011740",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "0701012672",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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