NPI Code Detail JSON Logo

1457804056 NPI number — ABIGAIL L COPPER PA-C

NPI Number: 1457804056
Health Care Provider/Practitioner: ABIGAIL L COPPER PA-C

Information about “1457804056” NPI (ABIGAIL L COPPER PA-C) exists in 1457804056 in HTML format HTML  |  1457804056 in plain Text format TXT  |  1457804056 in PDF (Portable Document Format) PDF  |  1457804056 in an XML format XML  formats.

NPI Number : 1457804056 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457804056",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COPPER",
    "FirstName": "ABIGAIL",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TENNANT",
    "OtherFirstName": "ABIGAIL",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 746071",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30374-6071",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-733-9730",
    "MailingAddressFaxNumber": "773-866-8014",
    "FirstLinePracticeLocationAddress": "8564 WINTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45231-4907",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-904-4679",
    "PracticeLocationAddressFaxNumber": "513-586-0296",
    "EnumerationDate": "07/31/2016",
    "LastUpdateDate": "03/18/2025",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "50.004877RX",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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