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1366255697 NPI number — KOREE L THATCHER BCHPT, HPMC

NPI Number: 1366255697
Health Care Provider/Practitioner: KOREE L THATCHER BCHPT, HPMC

Information about “1366255697” NPI (KOREE L THATCHER BCHPT, HPMC) exists in 1366255697 in HTML format HTML  |  1366255697 in plain Text format TXT  |  1366255697 in PDF (Portable Document Format) PDF  |  1366255697 in an XML format XML  formats.

NPI Number : 1366255697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366255697",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THATCHER",
    "FirstName": "KOREE",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "BCHPT, HPMC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1380 RANDOMHILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-549-4602",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11711 PRINCETON PIKE",
    "SecondLinePracticeLocationAddress": "BUILDING 201, SUITE 18",
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45246",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-549-4602",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2025",
    "LastUpdateDate": "01/30/2025",
    "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": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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