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1093840951 NPI number — TRACY A PURCELL MS ATC CKTP

NPI Number: 1093840951
Health Care Provider/Practitioner: TRACY A PURCELL MS ATC CKTP

Information about “1093840951” NPI (TRACY A PURCELL MS ATC CKTP) exists in 1093840951 in HTML format HTML  |  1093840951 in plain Text format TXT  |  1093840951 in PDF (Portable Document Format) PDF  |  1093840951 in an XML format XML  formats.

NPI Number : 1093840951 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093840951",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PURCELL",
    "FirstName": "TRACY",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS ATC CKTP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PORO",
    "OtherFirstName": "TRACY",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "HB 6083 ALUMNI HALL",
    "SecondLineMailingAddress": "DARTMOUTH COLLEGE",
    "MailingAddressCityName": "HANOVER",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03755",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-646-2472",
    "MailingAddressFaxNumber": "603-646-6455",
    "FirstLinePracticeLocationAddress": "1 CROSBY ST.",
    "SecondLinePracticeLocationAddress": "DAVIS VARSITY HOUSE",
    "PracticeLocationAddressCityName": "HANOVER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03755",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-646-2472",
    "PracticeLocationAddressFaxNumber": "603-646-6455",
    "EnumerationDate": "02/22/2007",
    "LastUpdateDate": "10/10/2011",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "274",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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