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1396630588 NPI number — DANIELLA ADELE COUGHLIN CRC

NPI Number: 1396630588
Health Care Provider/Practitioner: DANIELLA ADELE COUGHLIN CRC

Information about “1396630588” NPI (DANIELLA ADELE COUGHLIN CRC) exists in 1396630588 in HTML format HTML  |  1396630588 in plain Text format TXT  |  1396630588 in PDF (Portable Document Format) PDF  |  1396630588 in an XML format XML  formats.

NPI Number : 1396630588 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396630588",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COUGHLIN",
    "FirstName": "DANIELLA",
    "MiddleName": "ADELE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7929 KESSLER CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31905-9562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-732-1099",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1401 SW 1ST ST STE 209",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33135-2261",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-902-3880",
    "PracticeLocationAddressFaxNumber": "305-902-3885",
    "EnumerationDate": "06/10/2025",
    "LastUpdateDate": "06/10/2025",
    "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": "225C00000X",
        "TaxonomyName": "Rehabilitation Counselor",
        "LicenseNumber": "730700",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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