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1003705120 NPI number — OLIVIA CARINE WITZANSKY ATC

NPI Number: 1003705120
Health Care Provider/Practitioner: OLIVIA CARINE WITZANSKY ATC

Information about “1003705120” NPI (OLIVIA CARINE WITZANSKY ATC) exists in 1003705120 in HTML format HTML  |  1003705120 in plain Text format TXT  |  1003705120 in PDF (Portable Document Format) PDF  |  1003705120 in an XML format XML  formats.

NPI Number : 1003705120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003705120",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WITZANSKY",
    "FirstName": "OLIVIA",
    "MiddleName": "CARINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12926 W 71ST ST S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAPULPA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74066-8107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-845-7006",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12926 W 71ST ST S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAPULPA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74066-8107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-845-7006",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2025",
    "LastUpdateDate": "07/02/2025",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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