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1265930127 NPI number — OLGA BANYS PA-C

NPI Number: 1265930127
Health Care Provider/Practitioner: OLGA BANYS PA-C

Information about “1265930127” NPI (OLGA BANYS PA-C) exists in 1265930127 in HTML format HTML  |  1265930127 in plain Text format TXT  |  1265930127 in PDF (Portable Document Format) PDF  |  1265930127 in an XML format XML  formats.

NPI Number : 1265930127 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265930127",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BANYS",
    "FirstName": "OLGA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HLAVATSKAYA",
    "OtherFirstName": "VOLHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10S432 ECHO LN APT 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLOWBROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60527-6798",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-416-1610",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "350 N WALL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KANKAKEE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60901-2901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-935-7500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/25/2018",
    "LastUpdateDate": "04/25/2018",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "085-006493",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "085006493",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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