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1073823308 NPI number — TARYN JOHNSON DPT

NPI Number: 1073823308
Health Care Provider/Practitioner: TARYN JOHNSON DPT

Information about “1073823308” NPI (TARYN JOHNSON DPT) exists in 1073823308 in HTML format HTML  |  1073823308 in plain Text format TXT  |  1073823308 in PDF (Portable Document Format) PDF  |  1073823308 in an XML format XML  formats.

NPI Number : 1073823308 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073823308",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "TARYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WRONIAK",
    "OtherFirstName": "TARYN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 71230",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19176-6230",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-810-5218",
    "MailingAddressFaxNumber": "703-810-5406",
    "FirstLinePracticeLocationAddress": "8501 ARLINGTON BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 400",
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22031-4617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-810-5218",
    "PracticeLocationAddressFaxNumber": "703-810-5406",
    "EnumerationDate": "10/20/2010",
    "LastUpdateDate": "11/29/2011",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "2305206604",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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