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1306478326 NPI number — JENSINE ANN SAMUEL OTR/L

NPI Number: 1306478326
Health Care Provider/Practitioner: JENSINE ANN SAMUEL OTR/L

Information about “1306478326” NPI (JENSINE ANN SAMUEL OTR/L) exists in 1306478326 in HTML format HTML  |  1306478326 in plain Text format TXT  |  1306478326 in PDF (Portable Document Format) PDF  |  1306478326 in an XML format XML  formats.

NPI Number : 1306478326 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306478326",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAMUEL",
    "FirstName": "JENSINE",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VARUGHESE",
    "OtherFirstName": "JENSINE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "814 GRAYSTONE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75043-3716",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-235-5635",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 DUVALL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCKINNEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75069-3210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-391-6091",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/07/2020",
    "LastUpdateDate": "03/10/2021",
    "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": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OC016624",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "121152",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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