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1225203532 NPI number — MELISSA RENAE STEMPLE MS

NPI Number: 1225203532
Health Care Provider/Practitioner: MELISSA RENAE STEMPLE MS

Information about “1225203532” NPI (MELISSA RENAE STEMPLE MS) exists in 1225203532 in HTML format HTML  |  1225203532 in plain Text format TXT  |  1225203532 in PDF (Portable Document Format) PDF  |  1225203532 in an XML format XML  formats.

NPI Number : 1225203532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225203532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEMPLE",
    "FirstName": "MELISSA",
    "MiddleName": "RENAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BARGER",
    "OtherFirstName": "MELISSA",
    "OtherMiddleName": "RENAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "105 S RAILROAD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILIPPI",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26416-1150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-624-6554",
    "MailingAddressFaxNumber": "304-624-5223",
    "FirstLinePracticeLocationAddress": "105 S RAILROAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILIPPI",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26416-1150",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-624-6554",
    "PracticeLocationAddressFaxNumber": "304-624-5223",
    "EnumerationDate": "04/28/2008",
    "LastUpdateDate": "04/28/2008",
    "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": null,
        "LicenseNumberStateCode": "WV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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