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1134505860 NPI number — KATELYN SARA DENONCOUR PHARMD

NPI Number: 1134505860
Health Care Provider/Practitioner: KATELYN SARA DENONCOUR PHARMD

Information about “1134505860” NPI (KATELYN SARA DENONCOUR PHARMD) exists in 1134505860 in HTML format HTML  |  1134505860 in plain Text format TXT  |  1134505860 in PDF (Portable Document Format) PDF  |  1134505860 in an XML format XML  formats.

NPI Number : 1134505860 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134505860",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DENONCOUR",
    "FirstName": "KATELYN",
    "MiddleName": "SARA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HANS",
    "OtherFirstName": "KATELYN",
    "OtherMiddleName": "SARA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "125 N MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONCORD",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03301-4921",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-224-9591",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "125 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONCORD",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03301-4921",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-224-9591",
    "PracticeLocationAddressFaxNumber": "603-224-5361",
    "EnumerationDate": "08/04/2015",
    "LastUpdateDate": "03/19/2019",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "4060",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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