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1174223325 NPI number — SUZANNE BETH KOPP PHARMD

NPI Number: 1174223325
Health Care Provider/Practitioner: SUZANNE BETH KOPP PHARMD

Information about “1174223325” NPI (SUZANNE BETH KOPP PHARMD) exists in 1174223325 in HTML format HTML  |  1174223325 in plain Text format TXT  |  1174223325 in PDF (Portable Document Format) PDF  |  1174223325 in an XML format XML  formats.

NPI Number : 1174223325 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174223325",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOPP",
    "FirstName": "SUZANNE",
    "MiddleName": "BETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HIRSCH",
    "OtherFirstName": "SUZANNE",
    "OtherMiddleName": "BETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12538 BEAVER CREEK ROAD",
    "SecondLineMailingAddress": "P.O. BOX 211",
    "MailingAddressCityName": "PRINGLE",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57773",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-673-2750",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "505 N. RIVER ST.",
    "SecondLinePracticeLocationAddress": "SUITE 2&3",
    "PracticeLocationAddressCityName": "HOT SPRINGS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57747",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-745-3320",
    "PracticeLocationAddressFaxNumber": "605-745-3324",
    "EnumerationDate": "03/07/2023",
    "LastUpdateDate": "03/07/2023",
    "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": "R-5924",
        "LicenseNumberStateCode": "SD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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