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1447489976 NPI number — YOLANDA MARCIA BRACY D.T., LBSI

NPI Number: 1447489976
Health Care Provider/Practitioner: YOLANDA MARCIA BRACY D.T., LBSI

Information about “1447489976” NPI (YOLANDA MARCIA BRACY D.T., LBSI) exists in 1447489976 in HTML format HTML  |  1447489976 in plain Text format TXT  |  1447489976 in PDF (Portable Document Format) PDF  |  1447489976 in an XML format XML  formats.

NPI Number : 1447489976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447489976",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRACY",
    "FirstName": "YOLANDA",
    "MiddleName": "MARCIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.T., LBSI",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 24787",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60624-0787",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-826-4916",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3237 W LEXINGTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60624-4129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-826-4916",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/06/2009",
    "LastUpdateDate": "07/06/2009",
    "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": "222Q00000X",
        "TaxonomyName": "Developmental Therapist",
        "LicenseNumber": "2393700",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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