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1588082556 NPI number — AMELIA MEAGAN MCCONAGHY D.O.

NPI Number: 1588082556
Health Care Provider/Practitioner: AMELIA MEAGAN MCCONAGHY D.O.

Information about “1588082556” NPI (AMELIA MEAGAN MCCONAGHY D.O.) exists in 1588082556 in HTML format HTML  |  1588082556 in plain Text format TXT  |  1588082556 in PDF (Portable Document Format) PDF  |  1588082556 in an XML format XML  formats.

NPI Number : 1588082556 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588082556",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCONAGHY",
    "FirstName": "AMELIA",
    "MiddleName": "MEAGAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BUTLER-NALIN",
    "OtherFirstName": "AMELIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "905 FRANKLIN ST.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WATERLOO",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-221-0161",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "905 FRANKLIN ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATERLOO",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-221-0161",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2014",
    "LastUpdateDate": "08/31/2023",
    "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": "DO190748",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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