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1902557960 NPI number — CHERESE NICHOLE ROGERS ADT

NPI Number: 1902557960
Health Care Provider/Practitioner: CHERESE NICHOLE ROGERS ADT

Information about “1902557960” NPI (CHERESE NICHOLE ROGERS ADT) exists in 1902557960 in HTML format HTML  |  1902557960 in plain Text format TXT  |  1902557960 in PDF (Portable Document Format) PDF  |  1902557960 in an XML format XML  formats.

NPI Number : 1902557960 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902557960",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROGERS",
    "FirstName": "CHERESE",
    "MiddleName": "NICHOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ADT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3455 WILKENS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21229-5213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-646-6970",
    "MailingAddressFaxNumber": "410-644-5609",
    "FirstLinePracticeLocationAddress": "3455 WILKENS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21229-5213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-646-6970",
    "PracticeLocationAddressFaxNumber": "410-644-5609",
    "EnumerationDate": "01/12/2022",
    "LastUpdateDate": "01/12/2022",
    "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": "ADT1376",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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