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1053073197 NPI number — CANDICE N STOCKE

NPI Number: 1053073197
Health Care Provider/Practitioner: CANDICE N STOCKE

Information about “1053073197” NPI (CANDICE N STOCKE) exists in 1053073197 in HTML format HTML  |  1053073197 in plain Text format TXT  |  1053073197 in PDF (Portable Document Format) PDF  |  1053073197 in an XML format XML  formats.

NPI Number : 1053073197 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053073197",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STOCKE",
    "FirstName": "CANDICE",
    "MiddleName": "N",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "404 4TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMI",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62821-1235",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-383-5688",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1507 ROSER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMI",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62821-2229",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-384-9969",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/06/2021",
    "LastUpdateDate": "10/06/2021",
    "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": "3747A0650X",
        "TaxonomyName": "Attendant Care Provider",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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