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1265772743 NPI number — BETHANY SOULE DUYSER RN, APN

NPI Number: 1265772743
Health Care Provider/Practitioner: BETHANY SOULE DUYSER RN, APN

Information about “1265772743” NPI (BETHANY SOULE DUYSER RN, APN) exists in 1265772743 in HTML format HTML  |  1265772743 in plain Text format TXT  |  1265772743 in PDF (Portable Document Format) PDF  |  1265772743 in an XML format XML  formats.

NPI Number : 1265772743 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265772743",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUYSER",
    "FirstName": "BETHANY",
    "MiddleName": "SOULE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SOULE",
    "OtherFirstName": "BETHANY",
    "OtherMiddleName": "GILLAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "650 W BUCKINGHAM PL",
    "SecondLineMailingAddress": "APT. 1S",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60657-2826",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-904-7771",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "650 W BUCKINGHAM PL",
    "SecondLinePracticeLocationAddress": "APT. 1S",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60657-2826",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-904-7771",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2013",
    "LastUpdateDate": "02/21/2013",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "209010113",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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