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1871688234 NPI number — RAYMOND HARRY SMITH JR. M.S.,P.P.S.,M.F.T.

NPI Number: 1871688234
Health Care Provider/Practitioner: RAYMOND HARRY SMITH JR. M.S.,P.P.S.,M.F.T.

Information about “1871688234” NPI (RAYMOND HARRY SMITH JR. M.S.,P.P.S.,M.F.T.) exists in 1871688234 in HTML format HTML  |  1871688234 in plain Text format TXT  |  1871688234 in PDF (Portable Document Format) PDF  |  1871688234 in an XML format XML  formats.

NPI Number : 1871688234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871688234",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "RAYMOND",
    "MiddleName": "HARRY",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "M.S.,P.P.S.,M.F.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH",
    "OtherFirstName": "RAY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "MS, MFT, ORDAINED",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "9613 OAKHAM WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELK GROVE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95757-5116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-521-2677",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9613 OAKHAM WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELK GROVE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95757",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-521-2677",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2006",
    "LastUpdateDate": "11/08/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MFC40507",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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