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1033624580 NPI number — LINDA MAXIE CARR M.S., CCC-SLP

NPI Number: 1033624580
Health Care Provider/Practitioner: LINDA MAXIE CARR M.S., CCC-SLP

Information about “1033624580” NPI (LINDA MAXIE CARR M.S., CCC-SLP) exists in 1033624580 in HTML format HTML  |  1033624580 in plain Text format TXT  |  1033624580 in PDF (Portable Document Format) PDF  |  1033624580 in an XML format XML  formats.

NPI Number : 1033624580 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033624580",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARR",
    "FirstName": "LINDA",
    "MiddleName": "MAXIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.,  CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3594 BERRYHILL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROANOKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24018-4404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-989-5436",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7130 BENT MOUNTAIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24018-5710",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-772-7565",
    "PracticeLocationAddressFaxNumber": "540-776-7144",
    "EnumerationDate": "12/06/2017",
    "LastUpdateDate": "12/06/2017",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "2203000589",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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