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1306280326 NPI number — SHEENA MARGARET RAY D.O.

NPI Number: 1306280326
Health Care Provider/Practitioner: SHEENA MARGARET RAY D.O.

Information about “1306280326” NPI (SHEENA MARGARET RAY D.O.) exists in 1306280326 in HTML format HTML  |  1306280326 in plain Text format TXT  |  1306280326 in PDF (Portable Document Format) PDF  |  1306280326 in an XML format XML  formats.

NPI Number : 1306280326 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306280326",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAY",
    "FirstName": "SHEENA",
    "MiddleName": "MARGARET",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 27688",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALT LAKE CITY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84127-0688",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-534-1360",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11616 S STATE ST STE 1503",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DRAPER",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84020-7125",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-581-4096",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2013",
    "LastUpdateDate": "05/29/2019",
    "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": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "9149572",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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