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1417119389 NPI number — ERIN KATHLEEN FAVRE-SMITH MSW,

NPI Number: 1417119389
Health Care Provider/Practitioner: ERIN KATHLEEN FAVRE-SMITH MSW,

Information about “1417119389” NPI (ERIN KATHLEEN FAVRE-SMITH MSW,) exists in 1417119389 in HTML format HTML  |  1417119389 in plain Text format TXT  |  1417119389 in PDF (Portable Document Format) PDF  |  1417119389 in an XML format XML  formats.

NPI Number : 1417119389 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417119389",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FAVRE-SMITH",
    "FirstName": "ERIN",
    "MiddleName": "KATHLEEN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSW,",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROGERS",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "KATHLEEN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 ELM AVE UNIT 17",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90802-3149",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-205-8020",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2610 INDUSTRY WAY",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "LYNWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90262-4283",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-631-8004",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/01/2008",
    "LastUpdateDate": "06/02/2011",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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