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1912039785 NPI number — LINDSEY REBECCA BOGAN M.S.

NPI Number: 1912039785
Health Care Provider/Practitioner: LINDSEY REBECCA BOGAN M.S.

Information about “1912039785” NPI (LINDSEY REBECCA BOGAN M.S.) exists in 1912039785 in HTML format HTML  |  1912039785 in plain Text format TXT  |  1912039785 in PDF (Portable Document Format) PDF  |  1912039785 in an XML format XML  formats.

NPI Number : 1912039785 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912039785",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOGAN",
    "FirstName": "LINDSEY",
    "MiddleName": "REBECCA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2424 OSWEGO ST UNIT 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91107-4245",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-549-8980",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "210 S DE LACEY AVE STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91105-2074",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-831-4648",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2007",
    "LastUpdateDate": "06/14/2013",
    "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": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "47528",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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