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1306540505 NPI number — AMANDA L BOSLEY LGPC

NPI Number: 1306540505
Health Care Provider/Practitioner: AMANDA L BOSLEY LGPC

Information about “1306540505” NPI (AMANDA L BOSLEY LGPC) exists in 1306540505 in HTML format HTML  |  1306540505 in plain Text format TXT  |  1306540505 in PDF (Portable Document Format) PDF  |  1306540505 in an XML format XML  formats.

NPI Number : 1306540505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306540505",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOSLEY",
    "FirstName": "AMANDA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LGPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1025 MEMORIAL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKLAND",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21550-4343",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-334-7680",
    "MailingAddressFaxNumber": "301-334-7681",
    "FirstLinePracticeLocationAddress": "1025 MEMORIAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKLAND",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21550-4343",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-334-7680",
    "PracticeLocationAddressFaxNumber": "301-334-7681",
    "EnumerationDate": "03/30/2023",
    "LastUpdateDate": "01/30/2024",
    "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": "LGP11188",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LC14765",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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