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1184298549 NPI number — VYVIAN K QUEENAN AUD

NPI Number: 1184298549
Health Care Provider/Practitioner: VYVIAN K QUEENAN AUD

Information about “1184298549” NPI (VYVIAN K QUEENAN AUD) exists in 1184298549 in HTML format HTML  |  1184298549 in plain Text format TXT  |  1184298549 in PDF (Portable Document Format) PDF  |  1184298549 in an XML format XML  formats.

NPI Number : 1184298549 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184298549",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUEENAN",
    "FirstName": "VYVIAN",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AUD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NGUYEN",
    "OtherFirstName": "VYVIAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "350 FORSGATE DR STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROE TOWNSHIP",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08831-5155",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-831-0779",
    "MailingAddressFaxNumber": "609-831-0778",
    "FirstLinePracticeLocationAddress": "350 FORSGATE DR STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONROE TOWNSHIP",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08831-5155",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-831-0779",
    "PracticeLocationAddressFaxNumber": "609-831-0778",
    "EnumerationDate": "05/19/2021",
    "LastUpdateDate": "10/26/2022",
    "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": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "002952",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "14000062806",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "41YA00109700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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