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1114422987 NPI number — RAE LYNNE HOLMAN D.C.

NPI Number: 1114422987
Health Care Provider/Practitioner: RAE LYNNE HOLMAN D.C.

Information about “1114422987” NPI (RAE LYNNE HOLMAN D.C.) exists in 1114422987 in HTML format HTML  |  1114422987 in plain Text format TXT  |  1114422987 in PDF (Portable Document Format) PDF  |  1114422987 in an XML format XML  formats.

NPI Number : 1114422987 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114422987",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLMAN",
    "FirstName": "RAE",
    "MiddleName": "LYNNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STEWART",
    "OtherFirstName": "RAE",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3552 SW MARKET ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEES SUMMIT",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64082-2327",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-988-0058",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3552 SW MARKET ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEES SUMMIT",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64082-2327",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-988-0058",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2018",
    "LastUpdateDate": "08/28/2023",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "01-05894",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2019006977",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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