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1285976092 NPI number — LOLA ANNETTE JOHNSON RRT

NPI Number: 1285976092
Health Care Provider/Practitioner: LOLA ANNETTE JOHNSON RRT

Information about “1285976092” NPI (LOLA ANNETTE JOHNSON RRT) exists in 1285976092 in HTML format HTML  |  1285976092 in plain Text format TXT  |  1285976092 in PDF (Portable Document Format) PDF  |  1285976092 in an XML format XML  formats.

NPI Number : 1285976092 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285976092",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "LOLA",
    "MiddleName": "ANNETTE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RRT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 600",
    "SecondLineMailingAddress": "PFS BUSINESS OFFICE",
    "MailingAddressCityName": "TUBA CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86045-0600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-283-2094",
    "MailingAddressFaxNumber": "928-283-2677",
    "FirstLinePracticeLocationAddress": "167 NORTH MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUBA CITY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86045-0600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-283-2781",
    "PracticeLocationAddressFaxNumber": "928-283-2677",
    "EnumerationDate": "03/19/2013",
    "LastUpdateDate": "03/19/2013",
    "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": "227800000X",
          "TaxonomyName": "Certified Respiratory Therapist",
          "LicenseNumber": "007355",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "227800000X",
          "TaxonomyName": "Certified Respiratory Therapist",
          "LicenseNumber": "RT6564",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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