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1225097959 NPI number — JENNIFER JOY HARDIN HUSEMAN ATC

NPI Number: 1225097959
Health Care Provider/Practitioner: JENNIFER JOY HARDIN HUSEMAN ATC

Information about “1225097959” NPI (JENNIFER JOY HARDIN HUSEMAN ATC) exists in 1225097959 in HTML format HTML  |  1225097959 in plain Text format TXT  |  1225097959 in PDF (Portable Document Format) PDF  |  1225097959 in an XML format XML  formats.

NPI Number : 1225097959 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225097959",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUSEMAN",
    "FirstName": "JENNIFER",
    "MiddleName": "JOY HARDIN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARDIN",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "JOY",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "ATC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 173362",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80217-3362",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-770-4017",
    "MailingAddressFaxNumber": "303-556-8301",
    "FirstLinePracticeLocationAddress": "1201 5TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80204-2005",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-615-1328",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/21/2006",
    "LastUpdateDate": "04/21/2020",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "AT.0001164",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "1999135153",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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