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1114508801 NPI number — HONEYCOMB SPEECH

NPI Number: 1114508801
Health Care Provider/Practitioner: HONEYCOMB SPEECH

Information about “1114508801” NPI (HONEYCOMB SPEECH) exists in 1114508801 in HTML format HTML  |  1114508801 in plain Text format TXT  |  1114508801 in PDF (Portable Document Format) PDF  |  1114508801 in an XML format XML  formats.

NPI Number : 1114508801 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114508801",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HONEYCOMB SPEECH",
    "LastName": null,
    "FirstName": null,
    "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": "6013 GALLANT LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37918-8215",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-704-2852",
    "MailingAddressFaxNumber": "865-263-8510",
    "FirstLinePracticeLocationAddress": "6013 GALLANT LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37918-8215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-704-2852",
    "PracticeLocationAddressFaxNumber": "865-263-8510",
    "EnumerationDate": "04/15/2021",
    "LastUpdateDate": "04/15/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCMAHON",
    "AuthorizedOfficialFirstName": "KENDAL",
    "AuthorizedOfficialMiddleName": "LEIGH",
    "AuthorizedOfficialTitle": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS, CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "918-704-2852",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QA3000X",
          "TaxonomyName": "Augmentative Communication Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0700X",
          "TaxonomyName": "Hearing and Speech Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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