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1740986702 NPI number — MARTINA S DAWOUD PSYD LLC

NPI Number: 1740986702
Health Care Provider/Practitioner: MARTINA S DAWOUD PSYD LLC

Information about “1740986702” NPI (MARTINA S DAWOUD PSYD LLC) exists in 1740986702 in HTML format HTML  |  1740986702 in plain Text format TXT  |  1740986702 in PDF (Portable Document Format) PDF  |  1740986702 in an XML format XML  formats.

NPI Number : 1740986702 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740986702",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARTINA S DAWOUD PSYD LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "155 POLIFLY RD STE 301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HACKENSACK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07601-1749",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "551-294-3732",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "155 POLIFLY RD STE 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HACKENSACK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07601-1749",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "551-294-3732",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/01/2023",
    "LastUpdateDate": "07/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAWOUD",
    "AuthorizedOfficialFirstName": "MARTINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSYD",
    "AuthorizedOfficialTelephoneNumber": "551-294-3732",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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