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1548407349 NPI number — AMANDA M SCHULTZ PAC

NPI Number: 1548407349
Health Care Provider/Practitioner: AMANDA M SCHULTZ PAC

Information about “1548407349” NPI (AMANDA M SCHULTZ PAC) exists in 1548407349 in HTML format HTML  |  1548407349 in plain Text format TXT  |  1548407349 in PDF (Portable Document Format) PDF  |  1548407349 in an XML format XML  formats.

NPI Number : 1548407349 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548407349",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "AMANDA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 110429",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AURORA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80042-0429",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-493-7000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13123 E 16TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AURORA",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80045-7106",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-338-5437",
    "PracticeLocationAddressFaxNumber": "303-338-0443",
    "EnumerationDate": "01/15/2009",
    "LastUpdateDate": "10/19/2018",
    "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": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA.0002446",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "3189",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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