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1326687419 NPI number — ALEXANDRA NICOLE THOMAS OTR/L

NPI Number: 1326687419
Health Care Provider/Practitioner: ALEXANDRA NICOLE THOMAS OTR/L

Information about “1326687419” NPI (ALEXANDRA NICOLE THOMAS OTR/L) exists in 1326687419 in HTML format HTML  |  1326687419 in plain Text format TXT  |  1326687419 in PDF (Portable Document Format) PDF  |  1326687419 in an XML format XML  formats.

NPI Number : 1326687419 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326687419",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "ALEXANDRA",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HERNANDEZ",
    "OtherFirstName": "ALEXANDRA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2621 PERSHING AVE APT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HENRICO",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23228-4332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3600 SAUNDERS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23227-4328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-358-1874",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/06/2020",
    "LastUpdateDate": "01/06/2020",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "0119007100",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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