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1477281707 NPI number — MONA M BAYDOUN I MA,LLPC

NPI Number: 1477281707
Health Care Provider/Practitioner: MONA M BAYDOUN I MA,LLPC

Information about “1477281707” NPI (MONA M BAYDOUN I MA,LLPC) exists in 1477281707 in HTML format HTML  |  1477281707 in plain Text format TXT  |  1477281707 in PDF (Portable Document Format) PDF  |  1477281707 in an XML format XML  formats.

NPI Number : 1477281707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477281707",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAYDOUN",
    "FirstName": "MONA",
    "MiddleName": "M",
    "NamePrefix": "MS.",
    "NameSuffix": "I",
    "Credential": "MA,LLPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAYDOUN",
    "OtherFirstName": "MONA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": "I",
    "OtherCredential": "MA,LLPC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "6218 STEADMAN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEARBORN",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48126-2055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-265-6382",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 PARKLANE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEARBORN",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48126-2400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-846-2606",
    "PracticeLocationAddressFaxNumber": "313-846-2657",
    "EnumerationDate": "08/14/2022",
    "LastUpdateDate": "03/03/2023",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "6451022440",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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