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1225392285 NPI number — ELIZABETH DENLEY

NPI Number: 1225392285
Health Care Provider/Practitioner: ELIZABETH DENLEY

Information about “1225392285” NPI (ELIZABETH DENLEY) exists in 1225392285 in HTML format HTML  |  1225392285 in plain Text format TXT  |  1225392285 in PDF (Portable Document Format) PDF  |  1225392285 in an XML format XML  formats.

NPI Number : 1225392285 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225392285",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DENLEY",
    "FirstName": "ELIZABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DENLEY",
    "OtherFirstName": "BETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "272 MEDICAL LOOP",
    "SecondLineMailingAddress": "SUITE E",
    "MailingAddressCityName": "ROSEBURG",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97471",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-440-3532",
    "MailingAddressFaxNumber": "541-440-3554",
    "FirstLinePracticeLocationAddress": "272 MEDICAL LOOP",
    "SecondLinePracticeLocationAddress": "SUITE C",
    "PracticeLocationAddressCityName": "ROSEBURG",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97471",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-440-3532",
    "PracticeLocationAddressFaxNumber": "541-440-3554",
    "EnumerationDate": "06/25/2012",
    "LastUpdateDate": "05/07/2015",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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