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1558411009 NPI number — ALLISON FLANDERS HITZEMAN OTRL, CHT

NPI Number: 1558411009
Health Care Provider/Practitioner: ALLISON FLANDERS HITZEMAN OTRL, CHT

Information about “1558411009” NPI (ALLISON FLANDERS HITZEMAN OTRL, CHT) exists in 1558411009 in HTML format HTML  |  1558411009 in plain Text format TXT  |  1558411009 in PDF (Portable Document Format) PDF  |  1558411009 in an XML format XML  formats.

NPI Number : 1558411009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558411009",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HITZEMAN",
    "FirstName": "ALLISON",
    "MiddleName": "FLANDERS",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTRL, CHT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13837 S 32ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85044-3616",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-706-7462",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8115 E INDIAN BEND RD STE 123",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85250-4819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-766-0274",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/10/2007",
    "LastUpdateDate": "01/22/2015",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "2269",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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