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1497717912 NPI number — FAYE WHITING JENSEN M.D.

NPI Number: 1497717912
Health Care Provider/Practitioner: FAYE WHITING JENSEN M.D.

Information about “1497717912” NPI (FAYE WHITING JENSEN M.D.) exists in 1497717912 in HTML format HTML  |  1497717912 in plain Text format TXT  |  1497717912 in PDF (Portable Document Format) PDF  |  1497717912 in an XML format XML  formats.

NPI Number : 1497717912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497717912",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JENSEN",
    "FirstName": "FAYE",
    "MiddleName": "WHITING",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WHITING",
    "OtherFirstName": "FAYE",
    "OtherMiddleName": "JOANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "105 MARGARET LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRASS VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95945-5289",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-272-9615",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "105 MARGARET LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRASS VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95945-5289",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-272-9615",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/03/2006",
    "LastUpdateDate": "02/25/2020",
    "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": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "36652",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "26002",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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