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1366623019 NPI number — ARLENE B CRYSTAL LCSW

NPI Number: 1366623019
Health Care Provider/Practitioner: ARLENE B CRYSTAL LCSW

Information about “1366623019” NPI (ARLENE B CRYSTAL LCSW) exists in 1366623019 in HTML format HTML  |  1366623019 in plain Text format TXT  |  1366623019 in PDF (Portable Document Format) PDF  |  1366623019 in an XML format XML  formats.

NPI Number : 1366623019 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366623019",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRYSTAL",
    "FirstName": "ARLENE",
    "MiddleName": "B",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CRYSTAL",
    "OtherFirstName": "ARLENE",
    "OtherMiddleName": "BASIK",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2880 W OAKLAND PARK BLVD",
    "SecondLineMailingAddress": "#226",
    "MailingAddressCityName": "OAKLAND PARK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33311-1354",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-818-3421",
    "MailingAddressFaxNumber": "954-739-5427",
    "FirstLinePracticeLocationAddress": "2880 W OAKLAND PARK BLVD",
    "SecondLinePracticeLocationAddress": "#226",
    "PracticeLocationAddressCityName": "OAKLAND PARK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33311-1354",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-818-3421",
    "PracticeLocationAddressFaxNumber": "954-739-5427",
    "EnumerationDate": "11/23/2007",
    "LastUpdateDate": "12/30/2015",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "SW5437",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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