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1326905787 NPI number — JENNIFER LARSON

NPI Number: 1326905787
Health Care Provider/Practitioner: JENNIFER LARSON

Information about “1326905787” NPI (JENNIFER LARSON) exists in 1326905787 in HTML format HTML  |  1326905787 in plain Text format TXT  |  1326905787 in PDF (Portable Document Format) PDF  |  1326905787 in an XML format XML  formats.

NPI Number : 1326905787 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326905787",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LARSON",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "404 CHURCH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALO",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52324-4721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3500 DALTON WAY SW STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CEDAR RAPIDS",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52404-2567",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "319-369-4340",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/07/2026",
    "LastUpdateDate": "01/07/2026",
    "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": "247200000X",
        "TaxonomyName": "Other Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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