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1477671865 NPI number — KATHLEEN DIANE JULIANO OD

NPI Number: 1477671865
Health Care Provider/Practitioner: KATHLEEN DIANE JULIANO OD

Information about “1477671865” NPI (KATHLEEN DIANE JULIANO OD) exists in 1477671865 in HTML format HTML  |  1477671865 in plain Text format TXT  |  1477671865 in PDF (Portable Document Format) PDF  |  1477671865 in an XML format XML  formats.

NPI Number : 1477671865 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477671865",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JULIANO",
    "FirstName": "KATHLEEN",
    "MiddleName": "DIANE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9 BENTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRAVELERS REST",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29690",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-834-3111",
    "MailingAddressFaxNumber": "864-834-0567",
    "FirstLinePracticeLocationAddress": "9 BENTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRAVELERS REST",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29690",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-834-3111",
    "PracticeLocationAddressFaxNumber": "864-834-0567",
    "EnumerationDate": "03/26/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "1116",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "1928",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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