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1326380478 NPI number — JOCLAIRE G MERRILL MA, CCC-SLP

NPI Number: 1326380478
Health Care Provider/Practitioner: JOCLAIRE G MERRILL MA, CCC-SLP

Information about “1326380478” NPI (JOCLAIRE G MERRILL MA, CCC-SLP) exists in 1326380478 in HTML format HTML  |  1326380478 in plain Text format TXT  |  1326380478 in PDF (Portable Document Format) PDF  |  1326380478 in an XML format XML  formats.

NPI Number : 1326380478 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326380478",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERRILL",
    "FirstName": "JOCLAIRE",
    "MiddleName": "G",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GALLIMORE",
    "OtherFirstName": "JO CLAIRE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1000 DEPT 128",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEMPHIS",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38148-0128",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-821-0338",
    "MailingAddressFaxNumber": "901-821-0341",
    "FirstLinePracticeLocationAddress": "4055 PARK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEMPHIS",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38152-7420",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-678-2009",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2013",
    "LastUpdateDate": "09/27/2023",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "2508",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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