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1194607010 NPI number — RENEE DOUGLASS PHARMD, BCPS

NPI Number: 1194607010
Health Care Provider/Practitioner: RENEE DOUGLASS PHARMD, BCPS

Information about “1194607010” NPI (RENEE DOUGLASS PHARMD, BCPS) exists in 1194607010 in HTML format HTML  |  1194607010 in plain Text format TXT  |  1194607010 in PDF (Portable Document Format) PDF  |  1194607010 in an XML format XML  formats.

NPI Number : 1194607010 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194607010",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOUGLASS",
    "FirstName": "RENEE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, BCPS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PITT",
    "OtherFirstName": "RENEE",
    "OtherMiddleName": "DOUGLASS",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD, BCPS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8TH AVENUE C STREET EAST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALT LAKE CITY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84143-5004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-408-1100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8TH AVENUE C STREET EAST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALT LAKE CITY",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84143-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-408-1100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2025",
    "LastUpdateDate": "07/22/2025",
    "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": "6665449-1701",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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