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1417323528 NPI number — DORIAN MERCEDES FOSTER R.PH.

NPI Number: 1417323528
Health Care Provider/Practitioner: DORIAN MERCEDES FOSTER R.PH.

Information about “1417323528” NPI (DORIAN MERCEDES FOSTER R.PH.) exists in 1417323528 in HTML format HTML  |  1417323528 in plain Text format TXT  |  1417323528 in PDF (Portable Document Format) PDF  |  1417323528 in an XML format XML  formats.

NPI Number : 1417323528 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417323528",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOSTER",
    "FirstName": "DORIAN",
    "MiddleName": "MERCEDES",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "R.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOLLINGWORTH",
    "OtherFirstName": "DORIAN",
    "OtherMiddleName": "MERCEDES",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "R.PH.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "900 W DEUCE OF CLUBS",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHOW LOW",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85901-6214",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-532-5659",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 W DEUCE OF CLUBS",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHOW LOW",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85901-6214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-532-5659",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/12/2015",
    "LastUpdateDate": "08/12/2015",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "S021101",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "043807",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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