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1073971917 NPI number — MRS. KOLENE BARNES

NPI Number: 1073971917
Health Care Provider/Practitioner: MRS. KOLENE BARNES

Information about “1073971917” NPI (MRS. KOLENE BARNES) exists in 1073971917 in HTML format HTML  |  1073971917 in plain Text format TXT  |  1073971917 in PDF (Portable Document Format) PDF  |  1073971917 in an XML format XML  formats.

NPI Number : 1073971917 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073971917",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARNES",
    "FirstName": "KOLENE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1501 PARTIN DR N APT 136",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NICEVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32578-1468",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-822-6791",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3960 ARBOR TRACE DR UNIT B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LYNN HAVEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32444-6723",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-832-6727",
    "PracticeLocationAddressFaxNumber": "772-675-9100",
    "EnumerationDate": "02/06/2016",
    "LastUpdateDate": "02/06/2016",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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