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1477947489 NPI number — PATRICIA KACHUR

NPI Number: 1477947489
Health Care Provider/Practitioner: PATRICIA KACHUR

Information about “1477947489” NPI (PATRICIA KACHUR) exists in 1477947489 in HTML format HTML  |  1477947489 in plain Text format TXT  |  1477947489 in PDF (Portable Document Format) PDF  |  1477947489 in an XML format XML  formats.

NPI Number : 1477947489 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477947489",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KACHUR",
    "FirstName": "PATRICIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8333 N DAVIS HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32514-6050",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-474-8100",
    "MailingAddressFaxNumber": "850-969-2910",
    "FirstLinePracticeLocationAddress": "8333 N DAVIS HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32514-6050",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-474-8387",
    "PracticeLocationAddressFaxNumber": "850-969-2891",
    "EnumerationDate": "03/27/2015",
    "LastUpdateDate": "10/18/2021",
    "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": "207RR0500X",
          "TaxonomyName": "Rheumatology Physician",
          "LicenseNumber": "309020",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RR0500X",
          "TaxonomyName": "Rheumatology Physician",
          "LicenseNumber": "ME133842",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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