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1548469083 NPI number — ALICE VERONICA DONLAN LPT

NPI Number: 1548469083
Health Care Provider/Practitioner: ALICE VERONICA DONLAN LPT

Information about “1548469083” NPI (ALICE VERONICA DONLAN LPT) exists in 1548469083 in HTML format HTML  |  1548469083 in plain Text format TXT  |  1548469083 in PDF (Portable Document Format) PDF  |  1548469083 in an XML format XML  formats.

NPI Number : 1548469083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548469083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DONLAN",
    "FirstName": "ALICE",
    "MiddleName": "VERONICA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "110 OLD PEN ARGYL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BANGOR",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18013-9312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-588-0568",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1925 W TURNER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALLENTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18104-5513",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-794-5131",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/15/2007",
    "LastUpdateDate": "07/15/2007",
    "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": "2251G0304X",
          "TaxonomyName": "Geriatric Physical Therapist",
          "LicenseNumber": "PT007257L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2251G0304X",
          "TaxonomyName": "Geriatric Physical Therapist",
          "LicenseNumber": "40A01017200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251G0304X",
          "TaxonomyName": "Geriatric Physical Therapist",
          "LicenseNumber": "024834-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2251X0800X",
          "TaxonomyName": "Orthopedic Physical Therapist",
          "LicenseNumber": "PT-007257-L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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