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1043679186 NPI number — SYLVIA MICHELLE JONES MA SLP CCC

NPI Number: 1043679186
Health Care Provider/Practitioner: SYLVIA MICHELLE JONES MA SLP CCC

Information about “1043679186” NPI (SYLVIA MICHELLE JONES MA SLP CCC) exists in 1043679186 in HTML format HTML  |  1043679186 in plain Text format TXT  |  1043679186 in PDF (Portable Document Format) PDF  |  1043679186 in an XML format XML  formats.

NPI Number : 1043679186 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043679186",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONES",
    "FirstName": "SYLVIA",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA SLP CCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2150 LEXINGTON ROAD",
    "SecondLineMailingAddress": "SUITE G",
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40475",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-333-8147",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2150 LEXINGTON ROAD",
    "SecondLinePracticeLocationAddress": "SUITE G",
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40475",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-333-8147",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2016",
    "LastUpdateDate": "02/17/2016",
    "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": "00218476",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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