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1194592147 NPI number — CHARLINE ACHIENG OTIENO

NPI Number: 1194592147
Health Care Provider/Practitioner: CHARLINE ACHIENG OTIENO

Information about “1194592147” NPI (CHARLINE ACHIENG OTIENO) exists in 1194592147 in HTML format HTML  |  1194592147 in plain Text format TXT  |  1194592147 in PDF (Portable Document Format) PDF  |  1194592147 in an XML format XML  formats.

NPI Number : 1194592147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194592147",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OTIENO",
    "FirstName": "CHARLINE",
    "MiddleName": "ACHIENG",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9902 24TH AVENUE CT S APT V304",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98444-7780",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-229-9346",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4831 35TH AVE SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98126-2709",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-937-3700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/11/2023",
    "LastUpdateDate": "12/11/2023",
    "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": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": "NA60978173",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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