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1568452977 NPI number — ELIZABETH ANN CARR D.O.

NPI Number: 1568452977
Health Care Provider/Practitioner: ELIZABETH ANN CARR D.O.

Information about “1568452977” NPI (ELIZABETH ANN CARR D.O.) exists in 1568452977 in HTML format HTML  |  1568452977 in plain Text format TXT  |  1568452977 in PDF (Portable Document Format) PDF  |  1568452977 in an XML format XML  formats.

NPI Number : 1568452977 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568452977",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARR",
    "FirstName": "ELIZABETH",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WINTERS",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.O.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2 TIDES CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTSMOUTH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23703-5410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-290-9913",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3636 HIGH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTSMOUTH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23707-3236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-398-4280",
    "PracticeLocationAddressFaxNumber": "757-397-5368",
    "EnumerationDate": "10/26/2005",
    "LastUpdateDate": "11/12/2018",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "OS00853L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "H0076223",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "0102204081",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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