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1538666474 NPI number — TOBY REED EDWARDS OTA

NPI Number: 1538666474
Health Care Provider/Practitioner: TOBY REED EDWARDS OTA

Information about “1538666474” NPI (TOBY REED EDWARDS OTA) exists in 1538666474 in HTML format HTML  |  1538666474 in plain Text format TXT  |  1538666474 in PDF (Portable Document Format) PDF  |  1538666474 in an XML format XML  formats.

NPI Number : 1538666474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538666474",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EDWARDS",
    "FirstName": "TOBY",
    "MiddleName": "REED",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "OTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1701 E DEBBIE LN APT 1406",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANSFIELD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76063-4132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-402-0284",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "850 12TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76104-2516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-882-8289",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2018",
    "LastUpdateDate": "04/08/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "206163",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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