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1487304127 NPI number — REBECCA TEDDER

NPI Number: 1487304127
Health Care Provider/Practitioner: REBECCA TEDDER

Information about “1487304127” NPI (REBECCA TEDDER) exists in 1487304127 in HTML format HTML  |  1487304127 in plain Text format TXT  |  1487304127 in PDF (Portable Document Format) PDF  |  1487304127 in an XML format XML  formats.

NPI Number : 1487304127 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487304127",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TEDDER",
    "FirstName": "REBECCA",
    "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": "109 GRANTHAM A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEERFIELD BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33442-3401",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-991-4488",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2385 NW EXECUTIVE CENTER DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33431-8510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-847-3555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/25/2022",
    "LastUpdateDate": "03/25/2022",
    "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": "374700000X",
          "TaxonomyName": "Technician",
          "LicenseNumber": "APF-1646329888-25666",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106E00000X",
          "TaxonomyName": "Assistant Behavior Analyst",
          "LicenseNumber": "APF-164632988825666",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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