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1790908085 NPI number — PAM HRICIK

NPI Number: 1790908085
Health Care Provider/Practitioner: PAM HRICIK

Information about “1790908085” NPI (PAM HRICIK) exists in 1790908085 in HTML format HTML  |  1790908085 in plain Text format TXT  |  1790908085 in PDF (Portable Document Format) PDF  |  1790908085 in an XML format XML  formats.

NPI Number : 1790908085 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790908085",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HRICIK",
    "FirstName": "PAM",
    "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": "2950 TENNYSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80212-3029",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-855-3346",
    "MailingAddressFaxNumber": "303-433-9701",
    "FirstLinePracticeLocationAddress": "2950 TENNYSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80212-3029",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-855-3346",
    "PracticeLocationAddressFaxNumber": "303-433-9701",
    "EnumerationDate": "04/11/2007",
    "LastUpdateDate": "03/08/2011",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "992424",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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