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1619121571 NPI number — SAMANTHA BAUER ZYLSTRA MS MFT

NPI Number: 1619121571
Health Care Provider/Practitioner: SAMANTHA BAUER ZYLSTRA MS MFT

Information about “1619121571” NPI (SAMANTHA BAUER ZYLSTRA MS MFT) exists in 1619121571 in HTML format HTML  |  1619121571 in plain Text format TXT  |  1619121571 in PDF (Portable Document Format) PDF  |  1619121571 in an XML format XML  formats.

NPI Number : 1619121571 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619121571",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZYLSTRA",
    "FirstName": "SAMANTHA",
    "MiddleName": "BAUER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS MFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "29 S WEBSTER ST STE 230",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPERVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60540-5356",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-585-3132",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "29 S WEBSTER ST STE 230",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPERVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60540-5356",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-585-3132",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2008",
    "LastUpdateDate": "06/27/2023",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "44677",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "0001997",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "166.000962",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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