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1083116255 NPI number — MARTHA JEAN DOYLE LVN

NPI Number: 1083116255
Health Care Provider/Practitioner: MARTHA JEAN DOYLE LVN

Information about “1083116255” NPI (MARTHA JEAN DOYLE LVN) exists in 1083116255 in HTML format HTML  |  1083116255 in plain Text format TXT  |  1083116255 in PDF (Portable Document Format) PDF  |  1083116255 in an XML format XML  formats.

NPI Number : 1083116255 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083116255",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOYLE",
    "FirstName": "MARTHA",
    "MiddleName": "JEAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LVN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIVELY",
    "OtherFirstName": "MARTHA",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1302 S LONS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROWNFIELD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79316-6726",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-891-7612",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1302 S LONS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROWNFIELD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79316-6726",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-891-7612",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2018",
    "LastUpdateDate": "03/05/2018",
    "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": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "230819",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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