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1396644456 NPI number — BETHANN CLAYPOOL

NPI Number: 1396644456
Health Care Provider/Practitioner: BETHANN CLAYPOOL

Information about “1396644456” NPI (BETHANN CLAYPOOL) exists in 1396644456 in HTML format HTML  |  1396644456 in plain Text format TXT  |  1396644456 in PDF (Portable Document Format) PDF  |  1396644456 in an XML format XML  formats.

NPI Number : 1396644456 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396644456",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLAYPOOL",
    "FirstName": "BETHANN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MILLS",
    "OtherFirstName": "BETHANN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "103 MORTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BECKLEY",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25801-6936",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-877-1981",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "502 MAIN ST W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK HILL",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25901-3416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "682-823-4257",
    "PracticeLocationAddressFaxNumber": "681-823-4258",
    "EnumerationDate": "11/04/2026",
    "LastUpdateDate": "11/04/2026",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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