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1205315363 NPI number — JACI ELIZABETH BROWN M.S. CCC-SLP

NPI Number: 1205315363
Health Care Provider/Practitioner: JACI ELIZABETH BROWN M.S. CCC-SLP

Information about “1205315363” NPI (JACI ELIZABETH BROWN M.S. CCC-SLP) exists in 1205315363 in HTML format HTML  |  1205315363 in plain Text format TXT  |  1205315363 in PDF (Portable Document Format) PDF  |  1205315363 in an XML format XML  formats.

NPI Number : 1205315363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205315363",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "JACI",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S. CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASTERLINE",
    "OtherFirstName": "JACI",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S. CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6225 KINGSLEY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46220-2128",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "260-715-1844",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "118 MEDICAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMEL",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46032-3323",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-573-1037",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/09/2018",
    "LastUpdateDate": "03/08/2021",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "46003420A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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