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1770983595 NPI number — E. HITCHCOCK SCOTT LPCC917, LAADC

NPI Number: 1770983595
Health Care Provider/Practitioner: E. HITCHCOCK SCOTT LPCC917, LAADC

Information about “1770983595” NPI (E. HITCHCOCK SCOTT LPCC917, LAADC) exists in 1770983595 in HTML format HTML  |  1770983595 in plain Text format TXT  |  1770983595 in PDF (Portable Document Format) PDF  |  1770983595 in an XML format XML  formats.

NPI Number : 1770983595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770983595",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCOTT",
    "FirstName": "E.",
    "MiddleName": "HITCHCOCK",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "LPCC917, LAADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCOTT",
    "OtherFirstName": "ERICHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "AS ABOVE & ATR-BC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 6806",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MALIBU",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90264-6806",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-880-9761",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "28990 PACIFIC COAST HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MALIBU",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90265-3952",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-880-9761",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2014",
    "LastUpdateDate": "08/28/2014",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LR1080411",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPCC917",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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