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1033967641 NPI number — PAMELA ANN COLLEY L.H.I.S.

NPI Number: 1033967641
Health Care Provider/Practitioner: PAMELA ANN COLLEY L.H.I.S.

Information about “1033967641” NPI (PAMELA ANN COLLEY L.H.I.S.) exists in 1033967641 in HTML format HTML  |  1033967641 in plain Text format TXT  |  1033967641 in PDF (Portable Document Format) PDF  |  1033967641 in an XML format XML  formats.

NPI Number : 1033967641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033967641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLLEY",
    "FirstName": "PAMELA",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.H.I.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1301 GARDEN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORINTH",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38834-3830",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "662-872-2724",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1830 N GLOSTER ST STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUPELO",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38804-1218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-842-4345",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2024",
    "LastUpdateDate": "05/08/2024",
    "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": "237700000X",
        "TaxonomyName": "Hearing Instrument Specialist",
        "LicenseNumber": "HA724",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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