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1164825626 NPI number — TENEAK WEEMS

NPI Number: 1164825626
Health Care Provider/Practitioner: TENEAK WEEMS

Information about “1164825626” NPI (TENEAK WEEMS) exists in 1164825626 in HTML format HTML  |  1164825626 in plain Text format TXT  |  1164825626 in PDF (Portable Document Format) PDF  |  1164825626 in an XML format XML  formats.

NPI Number : 1164825626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164825626",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEEMS",
    "FirstName": "TENEAK",
    "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": "15565 NORTHLAND DR W STE 411",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48075-5317",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-559-5683",
    "MailingAddressFaxNumber": "248-559-5692",
    "FirstLinePracticeLocationAddress": "15565 NORTHLAND DR W STE 411",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48075-5317",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-559-5683",
    "PracticeLocationAddressFaxNumber": "248-559-5692",
    "EnumerationDate": "09/29/2014",
    "LastUpdateDate": "09/29/2014",
    "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": "146M00000X",
          "TaxonomyName": "Intermediate Emergency Medical Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "146N00000X",
          "TaxonomyName": "Basic Emergency Medical Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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