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1043675259 NPI number — SALLIE GEER ROBERTS RD, LDN

NPI Number: 1043675259
Health Care Provider/Practitioner: SALLIE GEER ROBERTS RD, LDN

Information about “1043675259” NPI (SALLIE GEER ROBERTS RD, LDN) exists in 1043675259 in HTML format HTML  |  1043675259 in plain Text format TXT  |  1043675259 in PDF (Portable Document Format) PDF  |  1043675259 in an XML format XML  formats.

NPI Number : 1043675259 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043675259",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBERTS",
    "FirstName": "SALLIE",
    "MiddleName": "GEER",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RD, LDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GEER",
    "OtherFirstName": "SALLIE",
    "OtherMiddleName": "WHITEFOORD",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13625 FIRENZA CIR",
    "SecondLineMailingAddress": "APARTMENT 104",
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28273-4405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-276-2171",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7810 BALLANTYNE COMMONS PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28277-3415",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-995-3434",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/15/2015",
    "LastUpdateDate": "12/15/2015",
    "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": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": "L004796",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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