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1326229642 NPI number — RECIA DIANN DILL NP

NPI Number: 1326229642
Health Care Provider/Practitioner: RECIA DIANN DILL NP

Information about “1326229642” NPI (RECIA DIANN DILL NP) exists in 1326229642 in HTML format HTML  |  1326229642 in plain Text format TXT  |  1326229642 in PDF (Portable Document Format) PDF  |  1326229642 in an XML format XML  formats.

NPI Number : 1326229642 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326229642",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DILL",
    "FirstName": "RECIA",
    "MiddleName": "DIANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUNOZ",
    "OtherFirstName": "RECIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 545",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76247-0545",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-597-3126",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1500 S MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76104-4917",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-702-3431",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/15/2007",
    "LastUpdateDate": "10/09/2025",
    "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": "363LN0000X",
          "TaxonomyName": "Neonatal Nurse Practitioner",
          "LicenseNumber": "RN182123",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LN0000X",
          "TaxonomyName": "Neonatal Nurse Practitioner",
          "LicenseNumber": "AP116746",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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