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1063547271 NPI number — JANET RAYE ELLIS CST, LFA

NPI Number: 1063547271
Health Care Provider/Practitioner: JANET RAYE ELLIS CST, LFA

Information about “1063547271” NPI (JANET RAYE ELLIS CST, LFA) exists in 1063547271 in HTML format HTML  |  1063547271 in plain Text format TXT  |  1063547271 in PDF (Portable Document Format) PDF  |  1063547271 in an XML format XML  formats.

NPI Number : 1063547271 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063547271",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELLIS",
    "FirstName": "JANET",
    "MiddleName": "RAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CST, LFA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "311 E 19TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOLFFORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79382-2809",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4601 50TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 106",
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79414-3513",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-785-2093",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "246ZS0410X",
        "TaxonomyName": "Surgical Technologist",
        "LicenseNumber": "SA00066",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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