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1124136866 NPI number — JANE ALLYN SAUER MPT

NPI Number: 1124136866
Health Care Provider/Practitioner: JANE ALLYN SAUER MPT

Information about “1124136866” NPI (JANE ALLYN SAUER MPT) exists in 1124136866 in HTML format HTML  |  1124136866 in plain Text format TXT  |  1124136866 in PDF (Portable Document Format) PDF  |  1124136866 in an XML format XML  formats.

NPI Number : 1124136866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124136866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAUER",
    "FirstName": "JANE",
    "MiddleName": "ALLYN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROWAN",
    "OtherFirstName": "JANE",
    "OtherMiddleName": "ALLYN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MPT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3845 SE LAKE WEIR AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCALA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34480-9153",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-401-7610",
    "MailingAddressFaxNumber": "352-438-0047",
    "FirstLinePracticeLocationAddress": "3845 SE LAKE WEIR AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCALA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34480-9153",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-401-7610",
    "PracticeLocationAddressFaxNumber": "352-438-0047",
    "EnumerationDate": "08/25/2006",
    "LastUpdateDate": "05/06/2009",
    "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": "PT18846",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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