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1407439763 NPI number — AMY FRAZIER MS, MLS (ASCP)

NPI Number: 1407439763
Health Care Provider/Practitioner: AMY FRAZIER MS, MLS (ASCP)

Information about “1407439763” NPI (AMY FRAZIER MS, MLS (ASCP)) exists in 1407439763 in HTML format HTML  |  1407439763 in plain Text format TXT  |  1407439763 in PDF (Portable Document Format) PDF  |  1407439763 in an XML format XML  formats.

NPI Number : 1407439763 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407439763",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRAZIER",
    "FirstName": "AMY",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS, MLS (ASCP)",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHALL",
    "OtherFirstName": "AMY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, MLS (ASCP)",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "341 KENSINGTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAVANNAH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31405-5424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11935 ABERCORN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAVANNAH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31419-1918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-344-3109",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/04/2021",
    "LastUpdateDate": "05/04/2021",
    "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": "246QM0706X",
        "TaxonomyName": "Medical Technologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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