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1295358737 NPI number — NANCY ALISON GREENE DSW

NPI Number: 1295358737
Health Care Provider/Practitioner: NANCY ALISON GREENE DSW

Information about “1295358737” NPI (NANCY ALISON GREENE DSW) exists in 1295358737 in HTML format HTML  |  1295358737 in plain Text format TXT  |  1295358737 in PDF (Portable Document Format) PDF  |  1295358737 in an XML format XML  formats.

NPI Number : 1295358737 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295358737",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREENE",
    "FirstName": "NANCY",
    "MiddleName": "ALISON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "19005 SERENITY POINT LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORNELIUS",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28031-8811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-775-6264",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19005 SERENITY POINT LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORNELIUS",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28031-8811",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-775-6264",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/19/2020",
    "LastUpdateDate": "05/19/2020",
    "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": "C009721",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW17137",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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