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1275043895 NPI number — MICHAELA GRACE MEADOWS ATC, LAT

NPI Number: 1275043895
Health Care Provider/Practitioner: MICHAELA GRACE MEADOWS ATC, LAT

Information about “1275043895” NPI (MICHAELA GRACE MEADOWS ATC, LAT) exists in 1275043895 in HTML format HTML  |  1275043895 in plain Text format TXT  |  1275043895 in PDF (Portable Document Format) PDF  |  1275043895 in an XML format XML  formats.

NPI Number : 1275043895 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275043895",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEADOWS",
    "FirstName": "MICHAELA",
    "MiddleName": "GRACE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC, LAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "700 PELHAM RD N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36265-1602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "700 PELHAM RD N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36265-1602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-782-5526",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2017",
    "LastUpdateDate": "10/10/2017",
    "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": "2081S0010X",
        "TaxonomyName": "Sports Medicine (Physical Medicine & Rehabilitation) Physician",
        "LicenseNumber": "1981",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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