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1124222518 NPI number — MRS. MARY THERESA BRIGGS

NPI Number: 1124222518
Health Care Provider/Practitioner: MRS. MARY THERESA BRIGGS

Information about “1124222518” NPI (MRS. MARY THERESA BRIGGS) exists in 1124222518 in HTML format HTML  |  1124222518 in plain Text format TXT  |  1124222518 in PDF (Portable Document Format) PDF  |  1124222518 in an XML format XML  formats.

NPI Number : 1124222518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124222518",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRIGGS",
    "FirstName": "MARY",
    "MiddleName": "THERESA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRATZER",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "THERESA",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "17894 MACK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GROSSE POINTE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48230-6250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-886-6903",
    "MailingAddressFaxNumber": "313-886-7902",
    "FirstLinePracticeLocationAddress": "17894 MACK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GROSSE POINTE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48230-6250",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-886-6903",
    "PracticeLocationAddressFaxNumber": "313-886-7902",
    "EnumerationDate": "06/12/2007",
    "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": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "1601000298",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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