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1043398464 NPI number — CAROL THERESE HAUGHEY PA

NPI Number: 1043398464
Health Care Provider/Practitioner: CAROL THERESE HAUGHEY PA

Information about “1043398464” NPI (CAROL THERESE HAUGHEY PA) exists in 1043398464 in HTML format HTML  |  1043398464 in plain Text format TXT  |  1043398464 in PDF (Portable Document Format) PDF  |  1043398464 in an XML format XML  formats.

NPI Number : 1043398464 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043398464",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAUGHEY",
    "FirstName": "CAROL",
    "MiddleName": "THERESE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HESS HAUGHEY",
    "OtherFirstName": "CAROL",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1050 LEGION DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELM GROVE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53122",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-782-8272",
    "MailingAddressFaxNumber": "262-782-5420",
    "FirstLinePracticeLocationAddress": "1050 LEGION DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELM GROVE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53122",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-782-8272",
    "PracticeLocationAddressFaxNumber": "262-782-5420",
    "EnumerationDate": "11/02/2006",
    "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": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "311023",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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