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1104376318 NPI number — JOANNA CECIL

NPI Number: 1104376318
Health Care Provider/Practitioner: JOANNA CECIL

Information about “1104376318” NPI (JOANNA CECIL) exists in 1104376318 in HTML format HTML  |  1104376318 in plain Text format TXT  |  1104376318 in PDF (Portable Document Format) PDF  |  1104376318 in an XML format XML  formats.

NPI Number : 1104376318 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104376318",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CECIL",
    "FirstName": "JOANNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1517 ROLLING ACRES RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW CUMBERLAND",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26047-3040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-986-0062",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "840 LEE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FOLLANSBEE",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26037-1783",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-527-1100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2016",
    "LastUpdateDate": "10/12/2016",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "PTA 000839",
        "LicenseNumberStateCode": "WV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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