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1427809060 NPI number — AUDREY GAIL DUGGAN PT,DPT

NPI Number: 1427809060
Health Care Provider/Practitioner: AUDREY GAIL DUGGAN PT,DPT

Information about “1427809060” NPI (AUDREY GAIL DUGGAN PT,DPT) exists in 1427809060 in HTML format HTML  |  1427809060 in plain Text format TXT  |  1427809060 in PDF (Portable Document Format) PDF  |  1427809060 in an XML format XML  formats.

NPI Number : 1427809060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427809060",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUGGAN",
    "FirstName": "AUDREY",
    "MiddleName": "GAIL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT,DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2112 E VISTA WAY APT 19",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VISTA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92084-2708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-715-7745",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2420 VISTA WAY STE 215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEANSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92054-6190",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "442-266-8089",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2024",
    "LastUpdateDate": "04/01/2024",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "305747",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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