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1932484706 NPI number — LUC P ROLIN MSW

NPI Number: 1932484706
Health Care Provider/Practitioner: LUC P ROLIN MSW

Information about “1932484706” NPI (LUC P ROLIN MSW) exists in 1932484706 in HTML format HTML  |  1932484706 in plain Text format TXT  |  1932484706 in PDF (Portable Document Format) PDF  |  1932484706 in an XML format XML  formats.

NPI Number : 1932484706 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932484706",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROLIN",
    "FirstName": "LUC",
    "MiddleName": "P",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ADLER",
    "OtherFirstName": "LUC",
    "OtherMiddleName": "P",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 27031",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90027-0031",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-840-4175",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "355 S GRAND AVE STE 2450",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90071-9500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-840-4175",
    "PracticeLocationAddressFaxNumber": "323-402-6470",
    "EnumerationDate": "10/12/2011",
    "LastUpdateDate": "05/27/2020",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "68938",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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