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1215526009 NPI number — MRS. SHANEKA SHIPMAN

NPI Number: 1215526009
Health Care Provider/Practitioner: MRS. SHANEKA SHIPMAN

Information about “1215526009” NPI (MRS. SHANEKA SHIPMAN) exists in 1215526009 in HTML format HTML  |  1215526009 in plain Text format TXT  |  1215526009 in PDF (Portable Document Format) PDF  |  1215526009 in an XML format XML  formats.

NPI Number : 1215526009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215526009",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHIPMAN",
    "FirstName": "SHANEKA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7319 MATTHEWS MINT HILL RD # I1023",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINT HILL",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28227-7594",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-837-9242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "135 CROSS GATE CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINSTON SALEM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27106-6326",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-837-9242",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/15/2021",
    "LastUpdateDate": "01/15/2021",
    "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": "171W00000X",
        "TaxonomyName": "Contractor",
        "LicenseNumber": "34D2205897",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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