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1215103411 NPI number — STEPHANIE ELIZABETH MCQUAIN OTR/L

NPI Number: 1215103411
Health Care Provider/Practitioner: STEPHANIE ELIZABETH MCQUAIN OTR/L

Information about “1215103411” NPI (STEPHANIE ELIZABETH MCQUAIN OTR/L) exists in 1215103411 in HTML format HTML  |  1215103411 in plain Text format TXT  |  1215103411 in PDF (Portable Document Format) PDF  |  1215103411 in an XML format XML  formats.

NPI Number : 1215103411 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215103411",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCQUAIN",
    "FirstName": "STEPHANIE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCQUAIN",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "564 LUCILLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40511-8001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-798-9819",
    "MailingAddressFaxNumber": "888-492-1536",
    "FirstLinePracticeLocationAddress": "564 LUCILLE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-798-9819",
    "PracticeLocationAddressFaxNumber": "888-492-1536",
    "EnumerationDate": "05/07/2008",
    "LastUpdateDate": "05/26/2021",
    "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": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": "OT009590",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": "241182",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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