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1356409395 NPI number — JOHNNY LEE GUINN M.S.

NPI Number: 1356409395
Health Care Provider/Practitioner: JOHNNY LEE GUINN M.S.

Information about “1356409395” NPI (JOHNNY LEE GUINN M.S.) exists in 1356409395 in HTML format HTML  |  1356409395 in plain Text format TXT  |  1356409395 in PDF (Portable Document Format) PDF  |  1356409395 in an XML format XML  formats.

NPI Number : 1356409395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356409395",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUINN",
    "FirstName": "JOHNNY",
    "MiddleName": "LEE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUINN",
    "OtherFirstName": "JOHN",
    "OtherMiddleName": "L",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "5807 UNIVERSITY AVE STE A5290",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92115-6295",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-228-1715",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4455 MURPHY CANYON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92123-4379",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-228-1715",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "05/06/2013",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MFC 47578",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "4101006464",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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