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1225448103 NPI number — ALISON MARIA SUMMERS COTA/L

NPI Number: 1225448103
Health Care Provider/Practitioner: ALISON MARIA SUMMERS COTA/L

Information about “1225448103” NPI (ALISON MARIA SUMMERS COTA/L) exists in 1225448103 in HTML format HTML  |  1225448103 in plain Text format TXT  |  1225448103 in PDF (Portable Document Format) PDF  |  1225448103 in an XML format XML  formats.

NPI Number : 1225448103 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225448103",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUMMERS",
    "FirstName": "ALISON",
    "MiddleName": "MARIA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "COTA/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ANTOSY",
    "OtherFirstName": "ALISON",
    "OtherMiddleName": "MARIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "COTA/L",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "544 N PENRYN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANHEIM",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17545-8562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-664-6284",
    "MailingAddressFaxNumber": "717-664-6382",
    "FirstLinePracticeLocationAddress": "544 N PENRYN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANHEIM",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17545-8562",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-664-6688",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/01/2014",
    "LastUpdateDate": "10/03/2014",
    "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": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "OP007339",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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