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1942537097 NPI number — MISS STACY MARIE CHINEVERE I

NPI Number: 1942537097
Health Care Provider/Practitioner: MISS STACY MARIE CHINEVERE I

Information about “1942537097” NPI (MISS STACY MARIE CHINEVERE I) exists in 1942537097 in HTML format HTML  |  1942537097 in plain Text format TXT  |  1942537097 in PDF (Portable Document Format) PDF  |  1942537097 in an XML format XML  formats.

NPI Number : 1942537097 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942537097",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHINEVERE",
    "FirstName": "STACY",
    "MiddleName": "MARIE",
    "NamePrefix": "MISS",
    "NameSuffix": "I",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAVIS",
    "OtherFirstName": "CAMERON",
    "OtherMiddleName": "KADIN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "326 JOHNSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49203",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-962-2258",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "326 JOHNSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49203",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-962-2258",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/11/2009",
    "LastUpdateDate": "11/11/2009",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "516777585266",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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