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1063837516 NPI number — KATHERIN OIGBOKIE

NPI Number: 1063837516
Health Care Provider/Practitioner: KATHERIN OIGBOKIE

Information about “1063837516” NPI (KATHERIN OIGBOKIE) exists in 1063837516 in HTML format HTML  |  1063837516 in plain Text format TXT  |  1063837516 in PDF (Portable Document Format) PDF  |  1063837516 in an XML format XML  formats.

NPI Number : 1063837516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063837516",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OIGBOKIE",
    "FirstName": "KATHERIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLARKE",
    "OtherFirstName": "KATHERIN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S. CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "20658 STONE OAK PKWY UNIT 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78258-7361",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-876-5282",
    "MailingAddressFaxNumber": "210-864-2199",
    "FirstLinePracticeLocationAddress": "20658 STONE OAK PKWY UNIT 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78258-7361",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-876-5282",
    "PracticeLocationAddressFaxNumber": "210-864-2199",
    "EnumerationDate": "02/20/2014",
    "LastUpdateDate": "02/09/2023",
    "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": "109757",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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