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1386978583 NPI number — DR. ROSE OGADA WADENYA

NPI Number: 1386978583
Health Care Provider/Practitioner: DR. ROSE OGADA WADENYA

Information about “1386978583” NPI (DR. ROSE OGADA WADENYA) exists in 1386978583 in HTML format HTML  |  1386978583 in plain Text format TXT  |  1386978583 in PDF (Portable Document Format) PDF  |  1386978583 in an XML format XML  formats.

NPI Number : 1386978583 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386978583",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WADENYA",
    "FirstName": "ROSE",
    "MiddleName": "OGADA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "31 S. EAGLE ROAD SUITE 100",
    "SecondLineMailingAddress": "EAGLE CREST PEDIATRIC DENTISTRY:",
    "MailingAddressCityName": "HAVERTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19083",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-454-3568",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "31 S. EAGLE ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "HAVERTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19083",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-454-3568",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/22/2009",
    "LastUpdateDate": "06/17/2013",
    "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": "1223P0221X",
        "TaxonomyName": "Pediatric Dentistry",
        "LicenseNumber": "DS-030167-L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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