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1548587157 NPI number — SARAH REBECCA BAZZLE LMBT

NPI Number: 1548587157
Health Care Provider/Practitioner: SARAH REBECCA BAZZLE LMBT

Information about “1548587157” NPI (SARAH REBECCA BAZZLE LMBT) exists in 1548587157 in HTML format HTML  |  1548587157 in plain Text format TXT  |  1548587157 in PDF (Portable Document Format) PDF  |  1548587157 in an XML format XML  formats.

NPI Number : 1548587157 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548587157",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAZZLE",
    "FirstName": "SARAH",
    "MiddleName": "REBECCA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMBT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MANZAK",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "REBECCA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3705 EASTOVER RDG RD",
    "SecondLineMailingAddress": "#1415",
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28211-1585",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-770-6341",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "447 S SHARON AMITY RD",
    "SecondLinePracticeLocationAddress": "STE 225",
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28211-2836",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-806-8380",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/23/2010",
    "LastUpdateDate": "04/23/2010",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "4095",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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