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1124325782 NPI number — JOAN H HICKS AGENCY DIRECTOR

NPI Number: 1124325782
Health Care Provider/Practitioner: JOAN H HICKS AGENCY DIRECTOR

Information about “1124325782” NPI (JOAN H HICKS AGENCY DIRECTOR) exists in 1124325782 in HTML format HTML  |  1124325782 in plain Text format TXT  |  1124325782 in PDF (Portable Document Format) PDF  |  1124325782 in an XML format XML  formats.

NPI Number : 1124325782 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124325782",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HICKS",
    "FirstName": "JOAN",
    "MiddleName": "H",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGENCY DIRECTOR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARE AGENCY",
    "OtherFirstName": "FOUR H",
    "OtherMiddleName": "HOME",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1213 GOSHEN ST",
    "SecondLineMailingAddress": "SUITE B",
    "MailingAddressCityName": "OXFORD",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27565-9313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-603-0661",
    "MailingAddressFaxNumber": "919-603-1661",
    "FirstLinePracticeLocationAddress": "1213 GOSHEN ST",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "OXFORD",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27565-9313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-603-0661",
    "PracticeLocationAddressFaxNumber": "919-603-1661",
    "EnumerationDate": "02/17/2011",
    "LastUpdateDate": "09/03/2013",
    "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": "3747P1801X",
          "TaxonomyName": "Personal Care Attendant",
          "LicenseNumber": "HC4295",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": "HC4295",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": "HC4295",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "HC4295",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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