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1558699389 NPI number — MISTY BROOKE SMITH M.S. CF-SLP

NPI Number: 1558699389
Health Care Provider/Practitioner: MISTY BROOKE SMITH M.S. CF-SLP

Information about “1558699389” NPI (MISTY BROOKE SMITH M.S. CF-SLP) exists in 1558699389 in HTML format HTML  |  1558699389 in plain Text format TXT  |  1558699389 in PDF (Portable Document Format) PDF  |  1558699389 in an XML format XML  formats.

NPI Number : 1558699389 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558699389",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "MISTY",
    "MiddleName": "BROOKE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S. CF-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1192 PARKER LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RISON",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "71665-9191",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-357-2384",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "206 CLEVELAND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STAR CITY",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "71667-5218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "870-628-5111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/07/2009",
    "LastUpdateDate": "12/07/2009",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SP#P8213",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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