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1346611860 NPI number — LISA M CUSHING CADC

NPI Number: 1346611860
Health Care Provider/Practitioner: LISA M CUSHING CADC

Information about “1346611860” NPI (LISA M CUSHING CADC) exists in 1346611860 in HTML format HTML  |  1346611860 in plain Text format TXT  |  1346611860 in PDF (Portable Document Format) PDF  |  1346611860 in an XML format XML  formats.

NPI Number : 1346611860 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346611860",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUSHING",
    "FirstName": "LISA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "43 HATCH DR",
    "SecondLineMailingAddress": "SUITE 210",
    "MailingAddressCityName": "CARIBOU",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04736-2161",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-498-6431",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "127 PALMER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CALAIS",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04619-1300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-498-6431",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2015",
    "LastUpdateDate": "01/11/2017",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "CAC3653",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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