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1235497454 NPI number — BRIDGET ANN FERGUSON DVM

NPI Number: 1235497454
Health Care Provider/Practitioner: BRIDGET ANN FERGUSON DVM

Information about “1235497454” NPI (BRIDGET ANN FERGUSON DVM) exists in 1235497454 in HTML format HTML  |  1235497454 in plain Text format TXT  |  1235497454 in PDF (Portable Document Format) PDF  |  1235497454 in an XML format XML  formats.

NPI Number : 1235497454 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235497454",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERGUSON",
    "FirstName": "BRIDGET",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DVM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27539 MAPLE VALLEY BLACK DIAMOND RD SE",
    "SecondLineMailingAddress": "SUITE D102",
    "MailingAddressCityName": "MAPLE VALLEY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98038-5155",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-432-2222",
    "MailingAddressFaxNumber": "425-947-9832",
    "FirstLinePracticeLocationAddress": "27539 MAPLE VALLEY BLACK DIAMOND RD SE",
    "SecondLinePracticeLocationAddress": "SUITE D102",
    "PracticeLocationAddressCityName": "MAPLE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98038-5155",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-432-2222",
    "PracticeLocationAddressFaxNumber": "425-947-9832",
    "EnumerationDate": "04/25/2012",
    "LastUpdateDate": "03/09/2015",
    "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": "174M00000X",
        "TaxonomyName": "Veterinarian",
        "LicenseNumber": "VT00008894",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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