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1053625236 NPI number — DAWN M HEZEL NP

NPI Number: 1053625236
Health Care Provider/Practitioner: DAWN M HEZEL NP

Information about “1053625236” NPI (DAWN M HEZEL NP) exists in 1053625236 in HTML format HTML  |  1053625236 in plain Text format TXT  |  1053625236 in PDF (Portable Document Format) PDF  |  1053625236 in an XML format XML  formats.

NPI Number : 1053625236 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053625236",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEZEL",
    "FirstName": "DAWN",
    "MiddleName": "M",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1375",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELLICOTTVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14731-1375",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-725-1003",
    "MailingAddressFaxNumber": "716-226-5231",
    "FirstLinePracticeLocationAddress": "2701 TRANSIT RD STE 141",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELMA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14059-9399",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-896-2470",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2010",
    "LastUpdateDate": "04/30/2024",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "F382151",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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