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1548299100 NPI number — MARLENE MILLER JURON LCSW

NPI Number: 1548299100
Health Care Provider/Practitioner: MARLENE MILLER JURON LCSW

Information about “1548299100” NPI (MARLENE MILLER JURON LCSW) exists in 1548299100 in HTML format HTML  |  1548299100 in plain Text format TXT  |  1548299100 in PDF (Portable Document Format) PDF  |  1548299100 in an XML format XML  formats.

NPI Number : 1548299100 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548299100",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JURON",
    "FirstName": "MARLENE",
    "MiddleName": "MILLER",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRYANT",
    "OtherFirstName": "MARLENE",
    "OtherMiddleName": "MILLER",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5317 FRUITVILLE RD # 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34232-6402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-302-5008",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5317 FRUITVILLE RD # 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34232-6402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-302-5008",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/03/2006",
    "LastUpdateDate": "05/29/2024",
    "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": "09040444044",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW18517",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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