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1588293542 NPI number — ANGELA NICOLE SNADER PTA

NPI Number: 1588293542
Health Care Provider/Practitioner: ANGELA NICOLE SNADER PTA

Information about “1588293542” NPI (ANGELA NICOLE SNADER PTA) exists in 1588293542 in HTML format HTML  |  1588293542 in plain Text format TXT  |  1588293542 in PDF (Portable Document Format) PDF  |  1588293542 in an XML format XML  formats.

NPI Number : 1588293542 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588293542",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SNADER",
    "FirstName": "ANGELA",
    "MiddleName": "NICOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 GRANVILLE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWARK",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19713-1805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-766-4499",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "32 BUENA VISTA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW CASTLE",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19720-4660",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-328-2588",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2020",
    "LastUpdateDate": "04/02/2020",
    "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": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "J2-0000648",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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