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1447572284 NPI number — DORINDA MARY ANGELO RN, LPC

NPI Number: 1447572284
Health Care Provider/Practitioner: DORINDA MARY ANGELO RN, LPC

Information about “1447572284” NPI (DORINDA MARY ANGELO RN, LPC) exists in 1447572284 in HTML format HTML  |  1447572284 in plain Text format TXT  |  1447572284 in PDF (Portable Document Format) PDF  |  1447572284 in an XML format XML  formats.

NPI Number : 1447572284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447572284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANGELO",
    "FirstName": "DORINDA",
    "MiddleName": "MARY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RN, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "DORINDA",
    "OtherMiddleName": "MARY",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "44 MURRAY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAHWAH",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07430-3027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-891-5163",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "61 N MAPLE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIDGEWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07450-3255",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-788-3773",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/22/2010",
    "LastUpdateDate": "02/22/2010",
    "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": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "37PC00401900",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "26NR07181600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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