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1023813045 NPI number — BETH DIMAGGIO SLATTERY

NPI Number: 1023813045
Health Care Provider/Practitioner: BETH DIMAGGIO SLATTERY

Information about “1023813045” NPI (BETH DIMAGGIO SLATTERY) exists in 1023813045 in HTML format HTML  |  1023813045 in plain Text format TXT  |  1023813045 in PDF (Portable Document Format) PDF  |  1023813045 in an XML format XML  formats.

NPI Number : 1023813045 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023813045",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SLATTERY",
    "FirstName": "BETH",
    "MiddleName": "DIMAGGIO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "753 ELMEER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "METAIRIE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70005-2053",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-487-3643",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2426 ESPLANADE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW ORLEANS",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70119-2405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-539-4505",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2025",
    "LastUpdateDate": "02/14/2025",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "Z10766",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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