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1609424233 NPI number — KATELYN MARIE MILLER RPH

NPI Number: 1609424233
Health Care Provider/Practitioner: KATELYN MARIE MILLER RPH

Information about “1609424233” NPI (KATELYN MARIE MILLER RPH) exists in 1609424233 in HTML format HTML  |  1609424233 in plain Text format TXT  |  1609424233 in PDF (Portable Document Format) PDF  |  1609424233 in an XML format XML  formats.

NPI Number : 1609424233 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609424233",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "KATELYN",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FINNERAN",
    "OtherFirstName": "KATELYN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4 PADDOCKS CIR APT 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARATOGA SPGS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12866-9515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "235 5TH AVE EXT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLOVERSVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12078-1814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-725-6541",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2019",
    "LastUpdateDate": "02/01/2021",
    "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": "1835P0018X",
        "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
        "LicenseNumber": "065823",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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