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1063743763 NPI number — MARGARET ANNETTA CALDWELL NA

NPI Number: 1063743763
Health Care Provider/Practitioner: MARGARET ANNETTA CALDWELL NA

Information about “1063743763” NPI (MARGARET ANNETTA CALDWELL NA) exists in 1063743763 in HTML format HTML  |  1063743763 in plain Text format TXT  |  1063743763 in PDF (Portable Document Format) PDF  |  1063743763 in an XML format XML  formats.

NPI Number : 1063743763 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063743763",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CALDWELL",
    "FirstName": "MARGARET",
    "MiddleName": "ANNETTA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CALDWELL",
    "OtherFirstName": "MARGARET CALDWELL",
    "OtherMiddleName": "MARGARET",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "BAPSRS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 50401",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDWEST CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73140-5401",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-741-8836",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1007 BELL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDWEST CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73110-2707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-741-8836",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/19/2010",
    "LastUpdateDate": "01/19/2010",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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