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1821818923 NPI number — KALEIGH NIKOLE PERRY CDCA

NPI Number: 1821818923
Health Care Provider/Practitioner: KALEIGH NIKOLE PERRY CDCA

Information about “1821818923” NPI (KALEIGH NIKOLE PERRY CDCA) exists in 1821818923 in HTML format HTML  |  1821818923 in plain Text format TXT  |  1821818923 in PDF (Portable Document Format) PDF  |  1821818923 in an XML format XML  formats.

NPI Number : 1821818923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821818923",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERRY",
    "FirstName": "KALEIGH",
    "MiddleName": "NIKOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CDCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCCLISH",
    "OtherFirstName": "KALEIGH",
    "OtherMiddleName": "NIKOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4600 MONTGOMERY RD STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45212-2600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1655 HOLLAND RD STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAUMEE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43537-1656",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-934-7450",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2024",
    "LastUpdateDate": "12/16/2024",
    "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": "CDCA-190133",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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