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1093938565 NPI number — JANET HERSCHEL OBRIEN P.T.

NPI Number: 1093938565
Health Care Provider/Practitioner: JANET HERSCHEL OBRIEN P.T.

Information about “1093938565” NPI (JANET HERSCHEL OBRIEN P.T.) exists in 1093938565 in HTML format HTML  |  1093938565 in plain Text format TXT  |  1093938565 in PDF (Portable Document Format) PDF  |  1093938565 in an XML format XML  formats.

NPI Number : 1093938565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093938565",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OBRIEN",
    "FirstName": "JANET",
    "MiddleName": "HERSCHEL",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HERSCHEL",
    "OtherFirstName": "JANET",
    "OtherMiddleName": "FAIRLEE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "P.T.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5633 WESTWIND LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34231-8427",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-923-1118",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5633 WESTWIND LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34231-8427",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-923-1118",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/11/2007",
    "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": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "17542",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "14335",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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