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1093382848 NPI number — ASHLEIGH ANDREJCHAK DPT

NPI Number: 1093382848
Health Care Provider/Practitioner: ASHLEIGH ANDREJCHAK DPT

Information about “1093382848” NPI (ASHLEIGH ANDREJCHAK DPT) exists in 1093382848 in HTML format HTML  |  1093382848 in plain Text format TXT  |  1093382848 in PDF (Portable Document Format) PDF  |  1093382848 in an XML format XML  formats.

NPI Number : 1093382848 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093382848",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDREJCHAK",
    "FirstName": "ASHLEIGH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8918 BLAKENEY PROFESSIONAL DR STE 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28277-6692",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-900-8960",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18831 STATESVILLE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORNELIUS",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28031-6755",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-897-6145",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2021",
    "LastUpdateDate": "01/07/2025",
    "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": "2251X0800X",
        "TaxonomyName": "Orthopedic Physical Therapist",
        "LicenseNumber": "P20695",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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