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1528715364 NPI number — SAMANTHA DANYELL HOLCOMB RT (R), RDMS

NPI Number: 1528715364
Health Care Provider/Practitioner: SAMANTHA DANYELL HOLCOMB RT (R), RDMS

Information about “1528715364” NPI (SAMANTHA DANYELL HOLCOMB RT (R), RDMS) exists in 1528715364 in HTML format HTML  |  1528715364 in plain Text format TXT  |  1528715364 in PDF (Portable Document Format) PDF  |  1528715364 in an XML format XML  formats.

NPI Number : 1528715364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528715364",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLCOMB",
    "FirstName": "SAMANTHA",
    "MiddleName": "DANYELL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RT (R), RDMS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUTCHESON",
    "OtherFirstName": "SAMANTHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RT (R), RDMS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "580 WILLOW CREEK CV NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37323-4204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-290-0473",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1060 PEERLESS XING NW STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37312-3785",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-380-6155",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/02/2022",
    "LastUpdateDate": "03/02/2022",
    "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": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "533831",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085U0001X",
          "TaxonomyName": "Diagnostic Ultrasound Physician",
          "LicenseNumber": "194568",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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