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1174100473 NPI number — CLAUDIA LORRAINE DAVENPORT MAPT

NPI Number: 1174100473
Health Care Provider/Practitioner: CLAUDIA LORRAINE DAVENPORT MAPT

Information about “1174100473” NPI (CLAUDIA LORRAINE DAVENPORT MAPT) exists in 1174100473 in HTML format HTML  |  1174100473 in plain Text format TXT  |  1174100473 in PDF (Portable Document Format) PDF  |  1174100473 in an XML format XML  formats.

NPI Number : 1174100473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174100473",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVENPORT",
    "FirstName": "CLAUDIA",
    "MiddleName": "LORRAINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MAPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FANSLER",
    "OtherFirstName": "CLAUDIA",
    "OtherMiddleName": "LORRAINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MAPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "953 CANYON RIDGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOLVANG",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93463-8705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-216-9477",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2028 VILLAGE LN STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOLVANG",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93463-3223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-680-1246",
    "PracticeLocationAddressFaxNumber": "805-617-3920",
    "EnumerationDate": "03/24/2021",
    "LastUpdateDate": "03/24/2021",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT12283",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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