{
"Npi": {
"NPI": "1629402318",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NANCY M OUTKA LMFT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 2102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FREMONT",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94536-0102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-505-9858",
"MailingAddressFaxNumber": "510-505-9858",
"FirstLinePracticeLocationAddress": "39111 PASEO PADRE PARKWAY",
"SecondLinePracticeLocationAddress": "SUITE 203C",
"PracticeLocationAddressCityName": "FREMONT",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94538-1694",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-505-9858",
"PracticeLocationAddressFaxNumber": "510-505-9858",
"EnumerationDate": "08/29/2013",
"LastUpdateDate": "01/04/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OUTKA",
"AuthorizedOfficialFirstName": "NANCY",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "MARRIAGE FAMILY THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "510-657-7342",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC42395",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}