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1679926380 NPI number — KORI HART STEINER

NPI Number: 1679926380
Health Care Provider/Practitioner: KORI HART STEINER

Information about “1679926380” NPI (KORI HART STEINER) exists in 1679926380 in HTML format HTML  |  1679926380 in plain Text format TXT  |  1679926380 in PDF (Portable Document Format) PDF  |  1679926380 in an XML format XML  formats.

NPI Number : 1679926380 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679926380",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEINER",
    "FirstName": "KORI",
    "MiddleName": "HART",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ERICKSON",
    "OtherFirstName": "TARA",
    "OtherMiddleName": "ROCHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9300 NE OAK VIEW DR",
    "SecondLineMailingAddress": "SUITE B",
    "MailingAddressCityName": "VANCOUVER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98662-6192",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-567-2211",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9300 NE OAK VIEW DR",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "VANCOUVER",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98662-6192",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "320-567-2211",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/18/2016",
    "LastUpdateDate": "01/10/2019",
    "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": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175T00000X",
          "TaxonomyName": "Peer Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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