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1265106017 NPI number — ALICIA ANN SCHNABEL

NPI Number: 1265106017
Health Care Provider/Practitioner: ALICIA ANN SCHNABEL

Information about “1265106017” NPI (ALICIA ANN SCHNABEL) exists in 1265106017 in HTML format HTML  |  1265106017 in plain Text format TXT  |  1265106017 in PDF (Portable Document Format) PDF  |  1265106017 in an XML format XML  formats.

NPI Number : 1265106017 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265106017",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHNABEL",
    "FirstName": "ALICIA",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REUMAN",
    "OtherFirstName": "ALICIA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "50 COLUMBIA STREET",
    "SecondLineMailingAddress": "BOX #14",
    "MailingAddressCityName": "BANGOR",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04401-6331",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-701-0110",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "50 COLUMBIA STREET",
    "SecondLinePracticeLocationAddress": "BOX #14",
    "PracticeLocationAddressCityName": "BANGOR",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04401-6331",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-702-0110",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2021",
    "LastUpdateDate": "09/19/2025",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "LPC-MH30571",
        "LicenseNumberStateCode": "SD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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