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1336004563 NPI number — PATRICIA HERBERT

NPI Number: 1336004563
Health Care Provider/Practitioner: PATRICIA HERBERT

Information about “1336004563” NPI (PATRICIA HERBERT) exists in 1336004563 in HTML format HTML  |  1336004563 in plain Text format TXT  |  1336004563 in PDF (Portable Document Format) PDF  |  1336004563 in an XML format XML  formats.

NPI Number : 1336004563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336004563",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERBERT",
    "FirstName": "PATRICIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FISHER",
    "OtherFirstName": "PATRICIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7 CARNEGIE PLZ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHERRY HILL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08003-1000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-407-3422",
    "MailingAddressFaxNumber": "877-407-4329",
    "FirstLinePracticeLocationAddress": "20 E PICCADILLY ST STE 11&14",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINCHESTER",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22601-3971",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-407-3422",
    "PracticeLocationAddressFaxNumber": "877-407-4329",
    "EnumerationDate": "12/19/2025",
    "LastUpdateDate": "12/19/2025",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "2305209137",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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