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1598669830 NPI number — TANISH JADE MCLEMORE

NPI Number: 1598669830
Health Care Provider/Practitioner: TANISH JADE MCLEMORE

Information about “1598669830” NPI (TANISH JADE MCLEMORE) exists in 1598669830 in HTML format HTML  |  1598669830 in plain Text format TXT  |  1598669830 in PDF (Portable Document Format) PDF  |  1598669830 in an XML format XML  formats.

NPI Number : 1598669830 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598669830",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCLEMORE",
    "FirstName": "TANISH",
    "MiddleName": "JADE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCLEMORE",
    "OtherFirstName": "TANISHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "333 NE 136TH AVE APT C79",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VANCOUVER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98684-6970",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-656-6643",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "204 SE STONEMILL DR STE 270",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VANCOUVER",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98684-3509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-622-2253",
    "PracticeLocationAddressFaxNumber": "833-619-0713",
    "EnumerationDate": "10/07/2026",
    "LastUpdateDate": "10/07/2026",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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