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1427609452 NPI number — KELLY RAE SCHOOLER RDN, CDE

NPI Number: 1427609452
Health Care Provider/Practitioner: KELLY RAE SCHOOLER RDN, CDE

Information about “1427609452” NPI (KELLY RAE SCHOOLER RDN, CDE) exists in 1427609452 in HTML format HTML  |  1427609452 in plain Text format TXT  |  1427609452 in PDF (Portable Document Format) PDF  |  1427609452 in an XML format XML  formats.

NPI Number : 1427609452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427609452",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHOOLER",
    "FirstName": "KELLY",
    "MiddleName": "RAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RDN, CDE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORAN",
    "OtherFirstName": "KELLY",
    "OtherMiddleName": "RAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RDN, CDE",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23530 NORWOOD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK PARK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48237-2283",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-748-3152",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18544 W 8 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48075-4194",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-569-1729",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2019",
    "LastUpdateDate": "09/20/2019",
    "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": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": "1054573",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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