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1053751867 NPI number — JILL KATHLEEN LOGAN PHARMD

NPI Number: 1053751867
Health Care Provider/Practitioner: JILL KATHLEEN LOGAN PHARMD

Information about “1053751867” NPI (JILL KATHLEEN LOGAN PHARMD) exists in 1053751867 in HTML format HTML  |  1053751867 in plain Text format TXT  |  1053751867 in PDF (Portable Document Format) PDF  |  1053751867 in an XML format XML  formats.

NPI Number : 1053751867 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053751867",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOGAN",
    "FirstName": "JILL",
    "MiddleName": "KATHLEEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8710 CAMERON ST",
    "SecondLineMailingAddress": "UNIT 1314",
    "MailingAddressCityName": "SILVER SPRING",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20910-3703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-456-8333",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "305 HOSPITAL DR",
    "SecondLinePracticeLocationAddress": "OUTPATIENT ANTICOAGULATION CLINIC",
    "PracticeLocationAddressCityName": "GLEN BURNIE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21061-5805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-787-4675",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2013",
    "LastUpdateDate": "06/26/2013",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "20288",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PCT.0011411",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PH232982",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "0202209207",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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