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1942381777 NPI number — DANTE C MERCURIO PH.D.

NPI Number: 1942381777
Health Care Provider/Practitioner: DANTE C MERCURIO PH.D.

Information about “1942381777” NPI (DANTE C MERCURIO PH.D.) exists in 1942381777 in HTML format HTML  |  1942381777 in plain Text format TXT  |  1942381777 in PDF (Portable Document Format) PDF  |  1942381777 in an XML format XML  formats.

NPI Number : 1942381777 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942381777",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERCURIO",
    "FirstName": "DANTE",
    "MiddleName": "C",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1099 BLOOMFIELD AVE",
    "SecondLineMailingAddress": "STE 14",
    "MailingAddressCityName": "WEST CALDWELL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07006-7129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-227-0642",
    "MailingAddressFaxNumber": "973-227-0675",
    "FirstLinePracticeLocationAddress": "1099 BLOOMFIELD AVE",
    "SecondLinePracticeLocationAddress": "STE 14",
    "PracticeLocationAddressCityName": "WEST CALDWELL",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07006-7129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-227-0642",
    "PracticeLocationAddressFaxNumber": "973-227-0675",
    "EnumerationDate": "10/18/2006",
    "LastUpdateDate": "07/09/2007",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "35SI00344600",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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