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1457501140 NPI number — SUZANNE KATHLEEN BAKER OT

NPI Number: 1457501140
Health Care Provider/Practitioner: SUZANNE KATHLEEN BAKER OT

Information about “1457501140” NPI (SUZANNE KATHLEEN BAKER OT) exists in 1457501140 in HTML format HTML  |  1457501140 in plain Text format TXT  |  1457501140 in PDF (Portable Document Format) PDF  |  1457501140 in an XML format XML  formats.

NPI Number : 1457501140 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457501140",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER",
    "FirstName": "SUZANNE",
    "MiddleName": "KATHLEEN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "67 KINGS HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONWAY",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72032-9440",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-329-5416",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5312 W 10TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72204-1852",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-280-9195",
    "PracticeLocationAddressFaxNumber": "501-663-7261",
    "EnumerationDate": "09/30/2008",
    "LastUpdateDate": "09/30/2008",
    "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": "225XP0200X",
        "TaxonomyName": "Pediatric Occupational Therapist",
        "LicenseNumber": "OTR356",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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