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1548685092 NPI number — KERRY M STANHOPE OTR/L

NPI Number: 1548685092
Health Care Provider/Practitioner: KERRY M STANHOPE OTR/L

Information about “1548685092” NPI (KERRY M STANHOPE OTR/L) exists in 1548685092 in HTML format HTML  |  1548685092 in plain Text format TXT  |  1548685092 in PDF (Portable Document Format) PDF  |  1548685092 in an XML format XML  formats.

NPI Number : 1548685092 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548685092",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STANHOPE",
    "FirstName": "KERRY",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS",
    "SecondLineMailingAddress": "600 HIGHLAND AVE",
    "MailingAddressCityName": "MADISON",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53792-2424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-263-8412",
    "MailingAddressFaxNumber": "608-263-5011",
    "FirstLinePracticeLocationAddress": "6630 UNIVERSITY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53562",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-263-8081",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2014",
    "LastUpdateDate": "09/05/2018",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "5450",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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