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1275868077 NPI number — LINDA MARIW DATI L.M.S.W.

NPI Number: 1275868077
Health Care Provider/Practitioner: LINDA MARIW DATI L.M.S.W.

Information about “1275868077” NPI (LINDA MARIW DATI L.M.S.W.) exists in 1275868077 in HTML format HTML  |  1275868077 in plain Text format TXT  |  1275868077 in PDF (Portable Document Format) PDF  |  1275868077 in an XML format XML  formats.

NPI Number : 1275868077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275868077",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DATI",
    "FirstName": "LINDA",
    "MiddleName": "MARIW",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.M.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DATI",
    "OtherFirstName": "LINDA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "L.M.S.W.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "38370 MAPLE FOREST BLVD E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRISON TOWNSHIP",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48045-2213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-466-5956",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4112 OUTLOOK BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PUEBLO",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81008-1667",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-466-5956",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2009",
    "LastUpdateDate": "10/12/2009",
    "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": "6801046345",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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