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1861013484 NPI number — JENNIFER DURAN AA, BS, MA, LAC

NPI Number: 1861013484
Health Care Provider/Practitioner: JENNIFER DURAN AA, BS, MA, LAC

Information about “1861013484” NPI (JENNIFER DURAN AA, BS, MA, LAC) exists in 1861013484 in HTML format HTML  |  1861013484 in plain Text format TXT  |  1861013484 in PDF (Portable Document Format) PDF  |  1861013484 in an XML format XML  formats.

NPI Number : 1861013484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861013484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DURAN",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AA, BS, MA, LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORLAND",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4745 DOVER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHEAT RIDGE",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80033-3129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-589-6411",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5650 GREENWOOD PLAZA BLVD STE 144&145",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENWOOD VILLAGE",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80111-2307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-353-9226",
    "PracticeLocationAddressFaxNumber": "720-923-2321",
    "EnumerationDate": "05/05/2020",
    "LastUpdateDate": "05/05/2020",
    "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": "ACD.0000686",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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