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1396442661 NPI number — LILLIAN P HANNA WELLNESS COACH

NPI Number: 1396442661
Health Care Provider/Practitioner: LILLIAN P HANNA WELLNESS COACH

Information about “1396442661” NPI (LILLIAN P HANNA WELLNESS COACH) exists in 1396442661 in HTML format HTML  |  1396442661 in plain Text format TXT  |  1396442661 in PDF (Portable Document Format) PDF  |  1396442661 in an XML format XML  formats.

NPI Number : 1396442661 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396442661",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANNA",
    "FirstName": "LILLIAN",
    "MiddleName": "P",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "WELLNESS COACH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HANNA",
    "OtherFirstName": "REV. LILLIAN",
    "OtherMiddleName": "P",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CHRISTIAN MINISTER",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "566 W FULTON STREET EXT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLOVERSVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12078-6308",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-571-2278",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "566 W FULTON STREET EXT # 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLOVERSVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12078-6308",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-571-2278",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/07/2023",
    "LastUpdateDate": "02/07/2023",
    "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": "171400000X",
        "TaxonomyName": "Health & Wellness Coach",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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