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1326393455 NPI number — KARA FAYE DAVIS C.D,A., R.D.H.

NPI Number: 1326393455
Health Care Provider/Practitioner: KARA FAYE DAVIS C.D,A., R.D.H.

Information about “1326393455” NPI (KARA FAYE DAVIS C.D,A., R.D.H.) exists in 1326393455 in HTML format HTML  |  1326393455 in plain Text format TXT  |  1326393455 in PDF (Portable Document Format) PDF  |  1326393455 in an XML format XML  formats.

NPI Number : 1326393455 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326393455",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "KARA",
    "MiddleName": "FAYE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "C.D,A., R.D.H.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOBBLE",
    "OtherFirstName": "KARA",
    "OtherMiddleName": "FAYE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "C.D.A., R.D.H.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "15325 LEE HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRISTOL",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24202-4013",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "276-781-6116",
    "MailingAddressFaxNumber": "276-591-5959",
    "FirstLinePracticeLocationAddress": "15325 LEE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRISTOL",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24202-4013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "276-781-6116",
    "PracticeLocationAddressFaxNumber": "276-591-5959",
    "EnumerationDate": "07/15/2012",
    "LastUpdateDate": "07/15/2012",
    "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": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "0402204467",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "126800000X",
          "TaxonomyName": "Dental Assistant",
          "LicenseNumber": "195701",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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