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1124453113 NPI number — VALERIE FAYE BIRDWELL SLP-CCC

NPI Number: 1124453113
Health Care Provider/Practitioner: VALERIE FAYE BIRDWELL SLP-CCC

Information about “1124453113” NPI (VALERIE FAYE BIRDWELL SLP-CCC) exists in 1124453113 in HTML format HTML  |  1124453113 in plain Text format TXT  |  1124453113 in PDF (Portable Document Format) PDF  |  1124453113 in an XML format XML  formats.

NPI Number : 1124453113 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124453113",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BIRDWELL",
    "FirstName": "VALERIE",
    "MiddleName": "FAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP-CCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCOTT",
    "OtherFirstName": "VALERIE",
    "OtherMiddleName": "FAYE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 8114",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHATTANOOGA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37414",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-622-1551",
    "MailingAddressFaxNumber": "877-856-7133",
    "FirstLinePracticeLocationAddress": "1400 E SPRING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COOKEVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38506-4313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-622-1551",
    "PracticeLocationAddressFaxNumber": "877-856-7133",
    "EnumerationDate": "09/09/2013",
    "LastUpdateDate": "09/09/2013",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "1938",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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