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1487995098 NPI number — NANCY ELLEN GRAHAM RPH

NPI Number: 1487995098
Health Care Provider/Practitioner: NANCY ELLEN GRAHAM RPH

Information about “1487995098” NPI (NANCY ELLEN GRAHAM RPH) exists in 1487995098 in HTML format HTML  |  1487995098 in plain Text format TXT  |  1487995098 in PDF (Portable Document Format) PDF  |  1487995098 in an XML format XML  formats.

NPI Number : 1487995098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487995098",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRAHAM",
    "FirstName": "NANCY",
    "MiddleName": "ELLEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KUECKER",
    "OtherFirstName": "NANCY",
    "OtherMiddleName": "ELLEN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1000 E 41ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78751-4810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-459-8308",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 E 41ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78751-4810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-459-8308",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2013",
    "LastUpdateDate": "03/06/2013",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "36795",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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