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1326502790 NPI number — DANIEL CARIDAD

NPI Number: 1326502790
Health Care Provider/Practitioner: DANIEL CARIDAD

Information about “1326502790” NPI (DANIEL CARIDAD) exists in 1326502790 in HTML format HTML  |  1326502790 in plain Text format TXT  |  1326502790 in PDF (Portable Document Format) PDF  |  1326502790 in an XML format XML  formats.

NPI Number : 1326502790 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326502790",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARIDAD",
    "FirstName": "DANIEL",
    "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": "1867 CRANE RIDGE DR STE 150C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39216-4982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "769-251-5550",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13131 HIGHWAY 603 STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAY ST LOUIS",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39520-8746",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-466-4690",
    "PracticeLocationAddressFaxNumber": "228-466-4668",
    "EnumerationDate": "01/30/2019",
    "LastUpdateDate": "04/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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