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1790835148 NPI number — MARTHA LANE PINTO M.ED.

NPI Number: 1790835148
Health Care Provider/Practitioner: MARTHA LANE PINTO M.ED.

Information about “1790835148” NPI (MARTHA LANE PINTO M.ED.) exists in 1790835148 in HTML format HTML  |  1790835148 in plain Text format TXT  |  1790835148 in PDF (Portable Document Format) PDF  |  1790835148 in an XML format XML  formats.

NPI Number : 1790835148 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790835148",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PINTO",
    "FirstName": "MARTHA",
    "MiddleName": "LANE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.ED.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PINTO",
    "OtherFirstName": "MARTHA",
    "OtherMiddleName": "L.",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MARTHA PINTO, L.P.C.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "121 BLUE QUAIL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GEORGETOWN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78628-9519",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-863-8634",
    "MailingAddressFaxNumber": "512-864-0930",
    "FirstLinePracticeLocationAddress": "1504 LEANDER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GEORGETOWN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78628-8801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-699-6503",
    "PracticeLocationAddressFaxNumber": "512-864-0930",
    "EnumerationDate": "01/10/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "7235",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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