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1275693897 NPI number — MRS. LEE ANN BIEBER

NPI Number: 1275693897
Health Care Provider/Practitioner: MRS. LEE ANN BIEBER

Information about “1275693897” NPI (MRS. LEE ANN BIEBER) exists in 1275693897 in HTML format HTML  |  1275693897 in plain Text format TXT  |  1275693897 in PDF (Portable Document Format) PDF  |  1275693897 in an XML format XML  formats.

NPI Number : 1275693897 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275693897",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BIEBER",
    "FirstName": "LEE",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROUILLETTE",
    "OtherFirstName": "LEE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "44571 W GRANITE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARICOPA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85239",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-568-5757",
    "MailingAddressFaxNumber": "520-568-5822",
    "FirstLinePracticeLocationAddress": "44571 W GRANITE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARICOPA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85239",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-568-5757",
    "PracticeLocationAddressFaxNumber": "520-568-5822",
    "EnumerationDate": "12/12/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "385HR2055X",
        "TaxonomyName": "Child Mental Illness Respite Care",
        "LicenseNumber": "4175",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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