NPI Code Detail JSON Logo

1174037766 NPI number — ABENA AMO-BADU

NPI Number: 1174037766
Health Care Provider/Practitioner: ABENA AMO-BADU

Information about “1174037766” NPI (ABENA AMO-BADU) exists in 1174037766 in HTML format HTML  |  1174037766 in plain Text format TXT  |  1174037766 in PDF (Portable Document Format) PDF  |  1174037766 in an XML format XML  formats.

NPI Number : 1174037766 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174037766",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMO-BADU",
    "FirstName": "ABENA",
    "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": "2 HEATHER CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLTSVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11742-2521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-860-8359",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "302 ROUTE 25A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILLER PLACE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11764-2413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-331-3162",
    "PracticeLocationAddressFaxNumber": "631-331-2795",
    "EnumerationDate": "11/19/2017",
    "LastUpdateDate": "10/01/2024",
    "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": "PR46971",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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