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1588924039 NPI number — LAUREN MANSOUR CNA, CHHA, LTC

NPI Number: 1588924039
Health Care Provider/Practitioner: LAUREN MANSOUR CNA, CHHA, LTC

Information about “1588924039” NPI (LAUREN MANSOUR CNA, CHHA, LTC) exists in 1588924039 in HTML format HTML  |  1588924039 in plain Text format TXT  |  1588924039 in PDF (Portable Document Format) PDF  |  1588924039 in an XML format XML  formats.

NPI Number : 1588924039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588924039",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANSOUR",
    "FirstName": "LAUREN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNA, CHHA, LTC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DOTY",
    "OtherFirstName": "LAUREN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3517 E GILLETTE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROKEN ARROW",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74014-8867",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "191-860-6988",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3517 E GILLETTE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROKEN ARROW",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74014-8867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "191-860-6988",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2012",
    "LastUpdateDate": "05/17/2012",
    "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": "374U00000X",
          "TaxonomyName": "Home Health Aide",
          "LicenseNumber": "37V243121202",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "376K00000X",
          "TaxonomyName": "Nurse's Aide",
          "LicenseNumber": "37V243111202",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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