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1003557752 NPI number — JULIET D PROVIDENCE

NPI Number: 1003557752
Health Care Provider/Practitioner: JULIET D PROVIDENCE

Information about “1003557752” NPI (JULIET D PROVIDENCE) exists in 1003557752 in HTML format HTML  |  1003557752 in plain Text format TXT  |  1003557752 in PDF (Portable Document Format) PDF  |  1003557752 in an XML format XML  formats.

NPI Number : 1003557752 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003557752",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PROVIDENCE",
    "FirstName": "JULIET",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PROVIDENCE",
    "OtherFirstName": "DONNA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1317 EDGEWATER DR # 4354",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32804-6350",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "424-206-0650",
    "MailingAddressFaxNumber": "407-789-3637",
    "FirstLinePracticeLocationAddress": "1317 EDGEWATER DR # 4354",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32804-6350",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "321-335-4327",
    "PracticeLocationAddressFaxNumber": "407-789-3637",
    "EnumerationDate": "04/06/2022",
    "LastUpdateDate": "04/06/2022",
    "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": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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