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1083021653 NPI number — KIMBERLY ALICE WHITTEMORE BA

NPI Number: 1083021653
Health Care Provider/Practitioner: KIMBERLY ALICE WHITTEMORE BA

Information about “1083021653” NPI (KIMBERLY ALICE WHITTEMORE BA) exists in 1083021653 in HTML format HTML  |  1083021653 in plain Text format TXT  |  1083021653 in PDF (Portable Document Format) PDF  |  1083021653 in an XML format XML  formats.

NPI Number : 1083021653 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083021653",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITTEMORE",
    "FirstName": "KIMBERLY",
    "MiddleName": "ALICE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "BA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "POOLE",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "ALICE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "113 CROSBY RD",
    "SecondLineMailingAddress": "SUITE 1",
    "MailingAddressCityName": "DOVER",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-516-9300",
    "MailingAddressFaxNumber": "603-743-3244",
    "FirstLinePracticeLocationAddress": "50 CHESTNUT STREET",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "DOVER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03820",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-516-9300",
    "PracticeLocationAddressFaxNumber": "603-516-2731",
    "EnumerationDate": "07/16/2014",
    "LastUpdateDate": "05/21/2019",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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