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1194938811 NPI number — BLISS J OSICK B.S

NPI Number: 1194938811
Health Care Provider/Practitioner: BLISS J OSICK B.S

Information about “1194938811” NPI (BLISS J OSICK B.S) exists in 1194938811 in HTML format HTML  |  1194938811 in plain Text format TXT  |  1194938811 in PDF (Portable Document Format) PDF  |  1194938811 in an XML format XML  formats.

NPI Number : 1194938811 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194938811",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSICK",
    "FirstName": "BLISS",
    "MiddleName": "J",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "B.S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20616 BAUER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CUSTER PARK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60481-9152",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-592-7897",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2423 GLENWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOLIET",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60435-5483",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-725-9992",
    "PracticeLocationAddressFaxNumber": "815-725-9993",
    "EnumerationDate": "05/08/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "222Q00000X",
        "TaxonomyName": "Developmental Therapist",
        "LicenseNumber": "BO78560785P",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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