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1598487605 NPI number — JACQUELINE C PACE RDH

NPI Number: 1598487605
Health Care Provider/Practitioner: JACQUELINE C PACE RDH

Information about “1598487605” NPI (JACQUELINE C PACE RDH) exists in 1598487605 in HTML format HTML  |  1598487605 in plain Text format TXT  |  1598487605 in PDF (Portable Document Format) PDF  |  1598487605 in an XML format XML  formats.

NPI Number : 1598487605 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598487605",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PACE",
    "FirstName": "JACQUELINE",
    "MiddleName": "C",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RDH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CUNNINGHAM",
    "OtherFirstName": "JACQUELINE",
    "OtherMiddleName": "G",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RDH",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "P.O. BOX 6071",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTSMOUTH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-296-3843",
    "MailingAddressFaxNumber": "757-421-7923",
    "FirstLinePracticeLocationAddress": "801 SANDERSON ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESAPEAKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23322",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-296-3843",
    "PracticeLocationAddressFaxNumber": "757-421-7923",
    "EnumerationDate": "09/15/2022",
    "LastUpdateDate": "09/15/2022",
    "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": "124Q00000X",
        "TaxonomyName": "Dental Hygienist",
        "LicenseNumber": "0402000925",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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