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1598962250 NPI number — AVIS HENDRICKSON ED.D.

NPI Number: 1598962250
Health Care Provider/Practitioner: AVIS HENDRICKSON ED.D.

Information about “1598962250” NPI (AVIS HENDRICKSON ED.D.) exists in 1598962250 in HTML format HTML  |  1598962250 in plain Text format TXT  |  1598962250 in PDF (Portable Document Format) PDF  |  1598962250 in an XML format XML  formats.

NPI Number : 1598962250 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598962250",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENDRICKSON",
    "FirstName": "AVIS",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ED.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SERVICES",
    "OtherFirstName": "EDUCATIONAL",
    "OtherMiddleName": "CONSULTATION",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "976 MCLEAN AVE",
    "SecondLineMailingAddress": "SUITE 297",
    "MailingAddressCityName": "YONKERS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10704-4105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-946-6520",
    "MailingAddressFaxNumber": "914-668-3044",
    "FirstLinePracticeLocationAddress": "976 MCLEAN AVE",
    "SecondLinePracticeLocationAddress": "SUITE 297",
    "PracticeLocationAddressCityName": "YONKERS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10704-4105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-946-6520",
    "PracticeLocationAddressFaxNumber": "914-668-3044",
    "EnumerationDate": "06/27/2007",
    "LastUpdateDate": "07/18/2007",
    "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": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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