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1063730935 NPI number — ANNE K KEATON BILICKI PHARMD

NPI Number: 1063730935
Health Care Provider/Practitioner: ANNE K KEATON BILICKI PHARMD

Information about “1063730935” NPI (ANNE K KEATON BILICKI PHARMD) exists in 1063730935 in HTML format HTML  |  1063730935 in plain Text format TXT  |  1063730935 in PDF (Portable Document Format) PDF  |  1063730935 in an XML format XML  formats.

NPI Number : 1063730935 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063730935",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEATON BILICKI",
    "FirstName": "ANNE",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KEATON",
    "OtherFirstName": "ANNE",
    "OtherMiddleName": "H",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2005 MAPLE ST SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROME",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30161-6783",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-234-5392",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2005 MAPLE ST SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROME",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30161-6783",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-234-5392",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2010",
    "LastUpdateDate": "07/06/2011",
    "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": "3677",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RPH025866",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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