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1710212329 NPI number — NOAH E ENTEEN MFT

NPI Number: 1710212329
Health Care Provider/Practitioner: NOAH E ENTEEN MFT

Information about “1710212329” NPI (NOAH E ENTEEN MFT) exists in 1710212329 in HTML format HTML  |  1710212329 in plain Text format TXT  |  1710212329 in PDF (Portable Document Format) PDF  |  1710212329 in an XML format XML  formats.

NPI Number : 1710212329 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710212329",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ENTEEN",
    "FirstName": "NOAH",
    "MiddleName": "E",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2301 S MOPAC EXPY",
    "SecondLineMailingAddress": "#835",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78746",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-310-9665",
    "MailingAddressFaxNumber": "512-790-4638",
    "FirstLinePracticeLocationAddress": "2301 S MOPAC EXPY",
    "SecondLinePracticeLocationAddress": "#835",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78746",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-310-9665",
    "PracticeLocationAddressFaxNumber": "512-790-4638",
    "EnumerationDate": "10/15/2009",
    "LastUpdateDate": "10/30/2015",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "50798",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "202647",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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