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1306220884 NPI number — DREA TUOTT

NPI Number: 1306220884
Health Care Provider/Practitioner: DREA TUOTT

Information about “1306220884” NPI (DREA TUOTT) exists in 1306220884 in HTML format HTML  |  1306220884 in plain Text format TXT  |  1306220884 in PDF (Portable Document Format) PDF  |  1306220884 in an XML format XML  formats.

NPI Number : 1306220884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306220884",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TUOTT",
    "FirstName": "DREA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4978 THREE POINTS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUND",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55364-1232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "763-276-3606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1772 STEIGER LAKE LN",
    "SecondLinePracticeLocationAddress": "SUITE 220",
    "PracticeLocationAddressCityName": "VICTORIA",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55386-7723",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-443-4600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/15/2015",
    "LastUpdateDate": "05/13/2025",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "7195",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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