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1235465543 NPI number — VANESSA SHERLOCK COTA/L

NPI Number: 1235465543
Health Care Provider/Practitioner: VANESSA SHERLOCK COTA/L

Information about “1235465543” NPI (VANESSA SHERLOCK COTA/L) exists in 1235465543 in HTML format HTML  |  1235465543 in plain Text format TXT  |  1235465543 in PDF (Portable Document Format) PDF  |  1235465543 in an XML format XML  formats.

NPI Number : 1235465543 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235465543",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHERLOCK",
    "FirstName": "VANESSA",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "COTA/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2062",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAFTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23692-2062",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5702 GEORGE WASHINGTON MEM HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAFTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23692-2878",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "345-678-5123",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/20/2009",
    "LastUpdateDate": "09/27/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "01/24/2012",
    "NPIReactivationDate": "09/27/2017",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "0131000248",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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