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1093456139 NPI number — JAYME STEPHEN EARLE LAT, ATC, CSCS

NPI Number: 1093456139
Health Care Provider/Practitioner: JAYME STEPHEN EARLE LAT, ATC, CSCS

Information about “1093456139” NPI (JAYME STEPHEN EARLE LAT, ATC, CSCS) exists in 1093456139 in HTML format HTML  |  1093456139 in plain Text format TXT  |  1093456139 in PDF (Portable Document Format) PDF  |  1093456139 in an XML format XML  formats.

NPI Number : 1093456139 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093456139",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EARLE",
    "FirstName": "JAYME",
    "MiddleName": "STEPHEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAT, ATC, CSCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "23201 NE 164TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEARNEY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64060-9280",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-560-8973",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "398 BLUE JAY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIBERTY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64068-1977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-407-2315",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/05/2022",
    "LastUpdateDate": "04/05/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "2021036518",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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