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1710445986 NPI number — MEGAN KELLER CDCA

NPI Number: 1710445986
Health Care Provider/Practitioner: MEGAN KELLER CDCA

Information about “1710445986” NPI (MEGAN KELLER CDCA) exists in 1710445986 in HTML format HTML  |  1710445986 in plain Text format TXT  |  1710445986 in PDF (Portable Document Format) PDF  |  1710445986 in an XML format XML  formats.

NPI Number : 1710445986 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710445986",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KELLER",
    "FirstName": "MEGAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CDCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "615 ELSINORE PL STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45202-1459",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-834-7063",
    "MailingAddressFaxNumber": "513-873-1567",
    "FirstLinePracticeLocationAddress": "4483 US NORTH 42",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MASON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45040-1934",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-834-7063",
    "PracticeLocationAddressFaxNumber": "513-873-1567",
    "EnumerationDate": "03/06/2019",
    "LastUpdateDate": "09/02/2020",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CDCA.168196",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "CDCA.168196",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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