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1457590671 NPI number — JUSTIN K STUM LMFT

NPI Number: 1457590671
Health Care Provider/Practitioner: JUSTIN K STUM LMFT

Information about “1457590671” NPI (JUSTIN K STUM LMFT) exists in 1457590671 in HTML format HTML  |  1457590671 in plain Text format TXT  |  1457590671 in PDF (Portable Document Format) PDF  |  1457590671 in an XML format XML  formats.

NPI Number : 1457590671 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457590671",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STUM",
    "FirstName": "JUSTIN",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "640 E 700 S",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "SAINT GEORGE",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84770-4023",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "435-574-9193",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "640 E 700 S",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "SAINT GEORGE",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84770-4023",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "435-574-9193",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/11/2009",
    "LastUpdateDate": "06/07/2013",
    "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": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "5617226-3902",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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