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1881848901 NPI number — MARK ALAN COMBS M.S., L.C.P.C.

NPI Number: 1881848901
Health Care Provider/Practitioner: MARK ALAN COMBS M.S., L.C.P.C.

Information about “1881848901” NPI (MARK ALAN COMBS M.S., L.C.P.C.) exists in 1881848901 in HTML format HTML  |  1881848901 in plain Text format TXT  |  1881848901 in PDF (Portable Document Format) PDF  |  1881848901 in an XML format XML  formats.

NPI Number : 1881848901 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881848901",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COMBS",
    "FirstName": "MARK",
    "MiddleName": "ALAN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.S., L.C.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "102 ROBINSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61832-8515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-443-1772",
    "MailingAddressFaxNumber": "217-443-1701",
    "FirstLinePracticeLocationAddress": "102 ROBINSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61832-8515",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-443-1772",
    "PracticeLocationAddressFaxNumber": "217-443-1701",
    "EnumerationDate": "11/17/2008",
    "LastUpdateDate": "11/17/2008",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "180.001394",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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