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1316253792 NPI number — ANNA CLIFTON HUMES MOT, OTR

NPI Number: 1316253792
Health Care Provider/Practitioner: ANNA CLIFTON HUMES MOT, OTR

Information about “1316253792” NPI (ANNA CLIFTON HUMES MOT, OTR) exists in 1316253792 in HTML format HTML  |  1316253792 in plain Text format TXT  |  1316253792 in PDF (Portable Document Format) PDF  |  1316253792 in an XML format XML  formats.

NPI Number : 1316253792 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316253792",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUMES",
    "FirstName": "ANNA",
    "MiddleName": "CLIFTON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MOT, OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLIFTON",
    "OtherFirstName": "ANNA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MOT, OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6851 S HOLLY CIR",
    "SecondLineMailingAddress": "SUITE 140",
    "MailingAddressCityName": "CENTENNIAL",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80112-1019",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-542-8737",
    "MailingAddressFaxNumber": "720-242-8085",
    "FirstLinePracticeLocationAddress": "6851 S HOLLY CIR",
    "SecondLinePracticeLocationAddress": "SUITE 140",
    "PracticeLocationAddressCityName": "CENTENNIAL",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80112-1019",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-542-8737",
    "PracticeLocationAddressFaxNumber": "720-242-8085",
    "EnumerationDate": "08/24/2010",
    "LastUpdateDate": "08/08/2013",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "056009111",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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