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1609115419 NPI number — MARGARET BYRNE SHOEMAKER O.T.

NPI Number: 1609115419
Health Care Provider/Practitioner: MARGARET BYRNE SHOEMAKER O.T.

Information about “1609115419” NPI (MARGARET BYRNE SHOEMAKER O.T.) exists in 1609115419 in HTML format HTML  |  1609115419 in plain Text format TXT  |  1609115419 in PDF (Portable Document Format) PDF  |  1609115419 in an XML format XML  formats.

NPI Number : 1609115419 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609115419",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHOEMAKER",
    "FirstName": "MARGARET",
    "MiddleName": "BYRNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "O.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHOEMAKER",
    "OtherFirstName": "MARGARET",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "605 DONNIE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KILLEEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76541-8918",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "254-634-8505",
    "MailingAddressFaxNumber": "254-221-7710",
    "FirstLinePracticeLocationAddress": "1102 WINKLER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KILLEEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76542-6249",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-634-8505",
    "PracticeLocationAddressFaxNumber": "254-221-7710",
    "EnumerationDate": "02/14/2013",
    "LastUpdateDate": "02/04/2014",
    "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": "112493",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": "112493",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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