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1710342969 NPI number — DECINDA ALLEN IMF

NPI Number: 1710342969
Health Care Provider/Practitioner: DECINDA ALLEN IMF

Information about “1710342969” NPI (DECINDA ALLEN IMF) exists in 1710342969 in HTML format HTML  |  1710342969 in plain Text format TXT  |  1710342969 in PDF (Portable Document Format) PDF  |  1710342969 in an XML format XML  formats.

NPI Number : 1710342969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710342969",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALLEN",
    "FirstName": "DECINDA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "IMF",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1055 W HENDERSON AVE STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTERVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93257-1490",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-788-1200",
    "MailingAddressFaxNumber": "559-713-3757",
    "FirstLinePracticeLocationAddress": "1055 W HENDERSON AVE STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTERVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93257-1490",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-788-1200",
    "PracticeLocationAddressFaxNumber": "559-713-3757",
    "EnumerationDate": "12/15/2015",
    "LastUpdateDate": "04/19/2023",
    "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": "LMFT101318",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "101318",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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