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1811016595 NPI number — PAMELA MECCA SEYMOUR L.P.C.

NPI Number: 1811016595
Health Care Provider/Practitioner: PAMELA MECCA SEYMOUR L.P.C.

Information about “1811016595” NPI (PAMELA MECCA SEYMOUR L.P.C.) exists in 1811016595 in HTML format HTML  |  1811016595 in plain Text format TXT  |  1811016595 in PDF (Portable Document Format) PDF  |  1811016595 in an XML format XML  formats.

NPI Number : 1811016595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811016595",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEYMOUR",
    "FirstName": "PAMELA",
    "MiddleName": "MECCA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "120 STREAMVIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27519-5834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-637-5778",
    "MailingAddressFaxNumber": "919-362-5896",
    "FirstLinePracticeLocationAddress": "5815 FALLS OF NEUSE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RALEIGH",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27609-4043",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-865-5754",
    "PracticeLocationAddressFaxNumber": "919-865-5751",
    "EnumerationDate": "03/27/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "101YS0200X",
        "TaxonomyName": "School Counselor",
        "LicenseNumber": "6510",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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