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1588983746 NPI number — FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT

NPI Number: 1588983746
Health Care Provider/Practitioner: FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT

Information about “1588983746” NPI (FRANCES OLAJUMOKE ABEGUNDE M.ED., OTR/L, CLT) exists in 1588983746 in HTML format HTML  |  1588983746 in plain Text format TXT  |  1588983746 in PDF (Portable Document Format) PDF  |  1588983746 in an XML format XML  formats.

NPI Number : 1588983746 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588983746",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABEGUNDE",
    "FirstName": "FRANCES",
    "MiddleName": "OLAJUMOKE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED., OTR/L, CLT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ABEGUNDE",
    "OtherFirstName": "JUMOKE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.ED., OTR/L, CLT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8981 W SAHARA AVE",
    "SecondLineMailingAddress": "SUITE 120",
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89117-5897",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-500-1201",
    "MailingAddressFaxNumber": "800-610-5973",
    "FirstLinePracticeLocationAddress": "8981 W SAHARA AVE",
    "SecondLinePracticeLocationAddress": "SUITE 120",
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89117-5897",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-500-1201",
    "PracticeLocationAddressFaxNumber": "800-610-5973",
    "EnumerationDate": "05/26/2010",
    "LastUpdateDate": "05/03/2013",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "09-0195",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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