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1326642216 NPI number — MISS MYA J BRATHWAITE

NPI Number: 1326642216
Health Care Provider/Practitioner: MISS MYA J BRATHWAITE

Information about “1326642216” NPI (MISS MYA J BRATHWAITE) exists in 1326642216 in HTML format HTML  |  1326642216 in plain Text format TXT  |  1326642216 in PDF (Portable Document Format) PDF  |  1326642216 in an XML format XML  formats.

NPI Number : 1326642216 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326642216",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRATHWAITE",
    "FirstName": "MYA",
    "MiddleName": "J",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "102 BROOK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUINCY",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02170-1508",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-640-0657",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "130 CONDOR ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST BOSTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02128-1305",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-569-6560",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/23/2020",
    "LastUpdateDate": "11/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/07/2024",
    "NPIReactivationDate": "11/26/2024",
    "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": "15546",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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