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1578370961 NPI number — SARAH JEAN PERCZAK PPS

NPI Number: 1578370961
Health Care Provider/Practitioner: SARAH JEAN PERCZAK PPS

Information about “1578370961” NPI (SARAH JEAN PERCZAK PPS) exists in 1578370961 in HTML format HTML  |  1578370961 in plain Text format TXT  |  1578370961 in PDF (Portable Document Format) PDF  |  1578370961 in an XML format XML  formats.

NPI Number : 1578370961 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578370961",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERCZAK",
    "FirstName": "SARAH",
    "MiddleName": "JEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PPS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VANSANT",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PPS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "777 E TACHEVAH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM SPRINGS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92262-4903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-416-8190",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "777 E TACHEVAH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92262-4903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-416-8190",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/18/2024",
    "LastUpdateDate": "12/18/2024",
    "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": "101YS0200X",
        "TaxonomyName": "School Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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