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1588935563 NPI number — BRENDA MARIE LOGGINS

NPI Number: 1588935563
Health Care Provider/Practitioner: BRENDA MARIE LOGGINS

Information about “1588935563” NPI (BRENDA MARIE LOGGINS) exists in 1588935563 in HTML format HTML  |  1588935563 in plain Text format TXT  |  1588935563 in PDF (Portable Document Format) PDF  |  1588935563 in an XML format XML  formats.

NPI Number : 1588935563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588935563",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOGGINS",
    "FirstName": "BRENDA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "203 TRUESDELL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA PORTE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46350-3043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "802 E US HIGHWAY 20",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MICHIGAN CITY",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46360-7424",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-861-3121",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2012",
    "LastUpdateDate": "01/23/2012",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "06003952A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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