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1639387855 NPI number — JOHN J. BRESCIA M.A.

NPI Number: 1639387855
Health Care Provider/Practitioner: JOHN J. BRESCIA M.A.

Information about “1639387855” NPI (JOHN J. BRESCIA M.A.) exists in 1639387855 in HTML format HTML  |  1639387855 in plain Text format TXT  |  1639387855 in PDF (Portable Document Format) PDF  |  1639387855 in an XML format XML  formats.

NPI Number : 1639387855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639387855",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRESCIA",
    "FirstName": "JOHN",
    "MiddleName": "J.",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5500 MARKET ST",
    "SecondLineMailingAddress": "SUITE 107B",
    "MailingAddressCityName": "YOUNGSTOWN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44512-2616",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-788-5769",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5500 MARKET ST",
    "SecondLinePracticeLocationAddress": "SUITE 107B",
    "PracticeLocationAddressCityName": "YOUNGSTOWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44512-2601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-788-5769",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/20/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "2743",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "PS002545-L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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