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1174052005 NPI number — SHARON YORDON HAS, BC-HIS

NPI Number: 1174052005
Health Care Provider/Practitioner: SHARON YORDON HAS, BC-HIS

Information about “1174052005” NPI (SHARON YORDON HAS, BC-HIS) exists in 1174052005 in HTML format HTML  |  1174052005 in plain Text format TXT  |  1174052005 in PDF (Portable Document Format) PDF  |  1174052005 in an XML format XML  formats.

NPI Number : 1174052005 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174052005",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YORDON",
    "FirstName": "SHARON",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "HAS, BC-HIS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1031 W 23RD ST STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PANAMA CITY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32405-3607",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-763-0801",
    "MailingAddressFaxNumber": "850-769-1997",
    "FirstLinePracticeLocationAddress": "1031 W 23RD ST STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PANAMA CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32405-3607",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-763-0801",
    "PracticeLocationAddressFaxNumber": "850-769-1997",
    "EnumerationDate": "06/05/2017",
    "LastUpdateDate": "07/21/2022",
    "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": "237700000X",
        "TaxonomyName": "Hearing Instrument Specialist",
        "LicenseNumber": "AS1541",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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