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1588744874 NPI number — SUE ANN BAKER PT

NPI Number: 1588744874
Health Care Provider/Practitioner: SUE ANN BAKER PT

Information about “1588744874” NPI (SUE ANN BAKER PT) exists in 1588744874 in HTML format HTML  |  1588744874 in plain Text format TXT  |  1588744874 in PDF (Portable Document Format) PDF  |  1588744874 in an XML format XML  formats.

NPI Number : 1588744874 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588744874",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER",
    "FirstName": "SUE",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAKER",
    "OtherFirstName": "SUE",
    "OtherMiddleName": "CARTER",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "20 DRAKE FARM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLETCHER",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28732-9388",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-684-6656",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "60 LIVINGSTON ST",
    "SecondLinePracticeLocationAddress": "STE 400",
    "PracticeLocationAddressCityName": "ASHEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28801-4402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-258-0797",
    "PracticeLocationAddressFaxNumber": "828-258-5306",
    "EnumerationDate": "10/17/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1691",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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