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1922659739 NPI number — CHARLES LYMAN BEARD III LPC

NPI Number: 1922659739
Health Care Provider/Practitioner: CHARLES LYMAN BEARD III LPC

Information about “1922659739” NPI (CHARLES LYMAN BEARD III LPC) exists in 1922659739 in HTML format HTML  |  1922659739 in plain Text format TXT  |  1922659739 in PDF (Portable Document Format) PDF  |  1922659739 in an XML format XML  formats.

NPI Number : 1922659739 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922659739",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEARD",
    "FirstName": "CHARLES",
    "MiddleName": "LYMAN",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3450 N 3RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85012-2331",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-265-8338",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2403 N PEBBLE CREEK PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GOODYEAR",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85395-9042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-269-2139",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2019",
    "LastUpdateDate": "09/23/2019",
    "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": "LPC-18256",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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