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1609445584 NPI number — MCKENZIE MARIE KOSHI

NPI Number: 1609445584
Health Care Provider/Practitioner: MCKENZIE MARIE KOSHI

Information about “1609445584” NPI (MCKENZIE MARIE KOSHI) exists in 1609445584 in HTML format HTML  |  1609445584 in plain Text format TXT  |  1609445584 in PDF (Portable Document Format) PDF  |  1609445584 in an XML format XML  formats.

NPI Number : 1609445584 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609445584",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOSHI",
    "FirstName": "MCKENZIE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3030 MCKINNEY AVE APT 1902",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75204-2451",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "810-252-0680",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1601 N COLLINS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHARDSON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75080-3520",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-470-5855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2021",
    "LastUpdateDate": "10/27/2025",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "124439",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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