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1063731784 NPI number — JOANNE M LAMIROULT SLP

NPI Number: 1063731784
Health Care Provider/Practitioner: JOANNE M LAMIROULT SLP

Information about “1063731784” NPI (JOANNE M LAMIROULT SLP) exists in 1063731784 in HTML format HTML  |  1063731784 in plain Text format TXT  |  1063731784 in PDF (Portable Document Format) PDF  |  1063731784 in an XML format XML  formats.

NPI Number : 1063731784 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063731784",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAMIROULT",
    "FirstName": "JOANNE",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAMIROULT",
    "OtherFirstName": "JODI",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SLP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "64 WHITE PEAKS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENWOOD SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81601-8630",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-948-0064",
    "MailingAddressFaxNumber": "970-948-0064",
    "FirstLinePracticeLocationAddress": "64 WHITE PEAKS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENWOOD SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81601-8630",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-948-0064",
    "PracticeLocationAddressFaxNumber": "970-948-0064",
    "EnumerationDate": "05/20/2010",
    "LastUpdateDate": "05/27/2020",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SLP.0001737",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "007433-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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