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1144529165 NPI number — JOY PETERSON

NPI Number: 1144529165
Health Care Provider/Practitioner: JOY PETERSON

Information about “1144529165” NPI (JOY PETERSON) exists in 1144529165 in HTML format HTML  |  1144529165 in plain Text format TXT  |  1144529165 in PDF (Portable Document Format) PDF  |  1144529165 in an XML format XML  formats.

NPI Number : 1144529165 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144529165",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PETERSON",
    "FirstName": "JOY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "34 ST & CIVIC CENTER BLVD",
    "SecondLineMailingAddress": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA - AUDIOLOGY",
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-590-7620",
    "MailingAddressFaxNumber": "215-590-5641",
    "FirstLinePracticeLocationAddress": "34TH ST & CIVIC CENTER BLVD",
    "SecondLinePracticeLocationAddress": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA - AUDIOLOGY",
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19144",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-590-7620",
    "PracticeLocationAddressFaxNumber": "215-590-5641",
    "EnumerationDate": "03/16/2011",
    "LastUpdateDate": "03/16/2011",
    "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": "AT001011L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "41YA00053200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "25MG00086900",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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