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1174238760 NPI number — TATE SHEA TSINGINE DPT

NPI Number: 1174238760
Health Care Provider/Practitioner: TATE SHEA TSINGINE DPT

Information about “1174238760” NPI (TATE SHEA TSINGINE DPT) exists in 1174238760 in HTML format HTML  |  1174238760 in plain Text format TXT  |  1174238760 in PDF (Portable Document Format) PDF  |  1174238760 in an XML format XML  formats.

NPI Number : 1174238760 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174238760",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TSINGINE",
    "FirstName": "TATE",
    "MiddleName": "SHEA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 3984",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUBA CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86045-3984",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-640-2760",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "167 MAIN STEET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUBA CITY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-976-5941",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/18/2023",
    "LastUpdateDate": "01/18/2023",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "LPT-32774",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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