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1750966958 NPI number — SHANICE LAVON HANNAH SSP II, LPES

NPI Number: 1750966958
Health Care Provider/Practitioner: SHANICE LAVON HANNAH SSP II, LPES

Information about “1750966958” NPI (SHANICE LAVON HANNAH SSP II, LPES) exists in 1750966958 in HTML format HTML  |  1750966958 in plain Text format TXT  |  1750966958 in PDF (Portable Document Format) PDF  |  1750966958 in an XML format XML  formats.

NPI Number : 1750966958 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750966958",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANNAH",
    "FirstName": "SHANICE",
    "MiddleName": "LAVON",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "SSP II, LPES",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1520 HERITAGE LN APT F6",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORENCE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29505-3144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-373-8748",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1516 S LANGLEY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLORENCE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29501-6149",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-621-0263",
    "PracticeLocationAddressFaxNumber": "843-536-8522",
    "EnumerationDate": "03/10/2021",
    "LastUpdateDate": "03/10/2021",
    "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": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": "4750",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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