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1194997593 NPI number — JACQUELINE BIGGS EIDT

NPI Number: 1194997593
Health Care Provider/Practitioner: JACQUELINE BIGGS EIDT

Information about “1194997593” NPI (JACQUELINE BIGGS EIDT) exists in 1194997593 in HTML format HTML  |  1194997593 in plain Text format TXT  |  1194997593 in PDF (Portable Document Format) PDF  |  1194997593 in an XML format XML  formats.

NPI Number : 1194997593 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194997593",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EIDT",
    "FirstName": "JACQUELINE",
    "MiddleName": "BIGGS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BIGGS",
    "OtherFirstName": "JACQUELINE",
    "OtherMiddleName": "B",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "721 NORTH PEARL STREET",
    "SecondLineMailingAddress": "5TH FLOOR",
    "MailingAddressCityName": "NATCHEZ",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-597-2813",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "604 JEFFERSON STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NATCHEZ",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39120",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-597-2813",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2008",
    "LastUpdateDate": "09/28/2022",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "C5186",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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