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1982202438 NPI number — SCOTT ALEXANDER BLACKBURN LMSW-P

NPI Number: 1982202438
Health Care Provider/Practitioner: SCOTT ALEXANDER BLACKBURN LMSW-P

Information about “1982202438” NPI (SCOTT ALEXANDER BLACKBURN LMSW-P) exists in 1982202438 in HTML format HTML  |  1982202438 in plain Text format TXT  |  1982202438 in PDF (Portable Document Format) PDF  |  1982202438 in an XML format XML  formats.

NPI Number : 1982202438 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982202438",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLACKBURN",
    "FirstName": "SCOTT",
    "MiddleName": "ALEXANDER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW-P",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "325 S ASH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NOWATA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74048-4628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-273-7344",
    "MailingAddressFaxNumber": "918-999-0111",
    "FirstLinePracticeLocationAddress": "124 E 6TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAWHUSKA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74056-4204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-604-6054",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/15/2020",
    "LastUpdateDate": "10/15/2020",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "7530-P",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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