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1346520145 NPI number — BRIAN GARY SOCIAL WORK

NPI Number: 1346520145
Health Care Provider/Practitioner: BRIAN GARY SOCIAL WORK

Information about “1346520145” NPI (BRIAN GARY SOCIAL WORK) exists in 1346520145 in HTML format HTML  |  1346520145 in plain Text format TXT  |  1346520145 in PDF (Portable Document Format) PDF  |  1346520145 in an XML format XML  formats.

NPI Number : 1346520145 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346520145",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARY",
    "FirstName": "BRIAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SOCIAL WORK",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "216 PARK AVE NW",
    "SecondLineMailingAddress": "PO BOX X",
    "MailingAddressCityName": "BAGLEY",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "56621-9500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "218-694-6164",
    "MailingAddressFaxNumber": "218-694-3535",
    "FirstLinePracticeLocationAddress": "216 PARK AVE NW",
    "SecondLinePracticeLocationAddress": "PO BOX X",
    "PracticeLocationAddressCityName": "BAGLEY",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "56621-9500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-694-6164",
    "PracticeLocationAddressFaxNumber": "218-694-3535",
    "EnumerationDate": "08/24/2011",
    "LastUpdateDate": "08/24/2011",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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