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1093852485 NPI number — MRS. MELANIE AFTOWSKI

NPI Number: 1093852485
Health Care Provider/Practitioner: MRS. MELANIE AFTOWSKI

Information about “1093852485” NPI (MRS. MELANIE AFTOWSKI) exists in 1093852485 in HTML format HTML  |  1093852485 in plain Text format TXT  |  1093852485 in PDF (Portable Document Format) PDF  |  1093852485 in an XML format XML  formats.

NPI Number : 1093852485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093852485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AFTOWSKI",
    "FirstName": "MELANIE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "42 GAYRIDGE RD",
    "SecondLineMailingAddress": "APT 4-3",
    "MailingAddressCityName": "WATERBURY",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06705-3273",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-755-9443",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "22 TOMPKINS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATERBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06708-1417",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-419-0381",
    "PracticeLocationAddressFaxNumber": "203-419-0389",
    "EnumerationDate": "02/01/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "002687",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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