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1043336100 NPI number — ELAINE MARGARET FELIX OTA

NPI Number: 1043336100
Health Care Provider/Practitioner: ELAINE MARGARET FELIX OTA

Information about “1043336100” NPI (ELAINE MARGARET FELIX OTA) exists in 1043336100 in HTML format HTML  |  1043336100 in plain Text format TXT  |  1043336100 in PDF (Portable Document Format) PDF  |  1043336100 in an XML format XML  formats.

NPI Number : 1043336100 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043336100",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FELIX",
    "FirstName": "ELAINE",
    "MiddleName": "MARGARET",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZELEZNOK",
    "OtherFirstName": "ELAINE",
    "OtherMiddleName": "MARGARET",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "OTA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2442 WINDING WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TOBYHANNA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18466-3733",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23 ELLEN MEMORIAL LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONESDALE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18431-4096",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-253-5691",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/21/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "OP-006043",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "006086-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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