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1912074097 NPI number — LINDA D. MYERS M.A.

NPI Number: 1912074097
Health Care Provider/Practitioner: LINDA D. MYERS M.A.

Information about “1912074097” NPI (LINDA D. MYERS M.A.) exists in 1912074097 in HTML format HTML  |  1912074097 in plain Text format TXT  |  1912074097 in PDF (Portable Document Format) PDF  |  1912074097 in an XML format XML  formats.

NPI Number : 1912074097 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912074097",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MYERS",
    "FirstName": "LINDA",
    "MiddleName": "D.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11920 DUSTY ROSE RD NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87122-1270",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-823-2323",
    "MailingAddressFaxNumber": "425-940-2716",
    "FirstLinePracticeLocationAddress": "8220 LA MIRADA PL NE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87109-1658",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-823-2323",
    "PracticeLocationAddressFaxNumber": "425-940-2716",
    "EnumerationDate": "11/30/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "0087581",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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