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1780064006 NPI number — TARA LEIGH HART-BURHOOP PH.D., LP

NPI Number: 1780064006
Health Care Provider/Practitioner: TARA LEIGH HART-BURHOOP PH.D., LP

Information about “1780064006” NPI (TARA LEIGH HART-BURHOOP PH.D., LP) exists in 1780064006 in HTML format HTML  |  1780064006 in plain Text format TXT  |  1780064006 in PDF (Portable Document Format) PDF  |  1780064006 in an XML format XML  formats.

NPI Number : 1780064006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780064006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HART-BURHOOP",
    "FirstName": "TARA",
    "MiddleName": "LEIGH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D., LP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HART",
    "OtherFirstName": "TARA",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "13460 WALSH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOYS TOWN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68010-7529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-498-3358",
    "MailingAddressFaxNumber": "402-498-3375",
    "FirstLinePracticeLocationAddress": "13460 WALSH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOYS TOWN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68010-7529",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-498-3358",
    "PracticeLocationAddressFaxNumber": "402-498-3375",
    "EnumerationDate": "06/02/2015",
    "LastUpdateDate": "07/20/2021",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "880",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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