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1053690552 NPI number — SANDRA JEAN SCHROEDER DENTIAL HYGIENIST

NPI Number: 1053690552
Health Care Provider/Practitioner: SANDRA JEAN SCHROEDER DENTIAL HYGIENIST

Information about “1053690552” NPI (SANDRA JEAN SCHROEDER DENTIAL HYGIENIST) exists in 1053690552 in HTML format HTML  |  1053690552 in plain Text format TXT  |  1053690552 in PDF (Portable Document Format) PDF  |  1053690552 in an XML format XML  formats.

NPI Number : 1053690552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053690552",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHROEDER",
    "FirstName": "SANDRA",
    "MiddleName": "JEAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DENTIAL HYGIENIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6694 SAM HILL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUN PRAIRIE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53590-9384",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-825-2956",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6694 SAM HILL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUN PRAIRIE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53590-9384",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-825-2956",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/15/2011",
    "LastUpdateDate": "10/31/2016",
    "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": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "6706-16",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "020.007667",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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