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1467707950 NPI number — KATHERINE E BOUMA AU.D.

NPI Number: 1467707950
Health Care Provider/Practitioner: KATHERINE E BOUMA AU.D.

Information about “1467707950” NPI (KATHERINE E BOUMA AU.D.) exists in 1467707950 in HTML format HTML  |  1467707950 in plain Text format TXT  |  1467707950 in PDF (Portable Document Format) PDF  |  1467707950 in an XML format XML  formats.

NPI Number : 1467707950 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467707950",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOUMA",
    "FirstName": "KATHERINE",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "941 CAIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35670-4723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3000 JOHNSON RD SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTSVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35805-5847",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-650-1712",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2012",
    "LastUpdateDate": "01/13/2021",
    "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": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "1105A",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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