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1326187949 NPI number — JENNIFER LEE CRAWFORD MPA-C

NPI Number: 1326187949
Health Care Provider/Practitioner: JENNIFER LEE CRAWFORD MPA-C

Information about “1326187949” NPI (JENNIFER LEE CRAWFORD MPA-C) exists in 1326187949 in HTML format HTML  |  1326187949 in plain Text format TXT  |  1326187949 in PDF (Portable Document Format) PDF  |  1326187949 in an XML format XML  formats.

NPI Number : 1326187949 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326187949",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRAWFORD",
    "FirstName": "JENNIFER",
    "MiddleName": "LEE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MPA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOCHER",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "LEE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "MPA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "750 VALLEY BROOK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LYNDHURST",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07071-1301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-896-0900",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "750 VALLEY BROOK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LYNDHURST",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07071-1301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-896-0900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/06/2007",
    "LastUpdateDate": "08/29/2016",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "25MP00176200",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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