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1629217385 NPI number — SHAUNA KAY LEVINE PAC

NPI Number: 1629217385
Health Care Provider/Practitioner: SHAUNA KAY LEVINE PAC

Information about “1629217385” NPI (SHAUNA KAY LEVINE PAC) exists in 1629217385 in HTML format HTML  |  1629217385 in plain Text format TXT  |  1629217385 in PDF (Portable Document Format) PDF  |  1629217385 in an XML format XML  formats.

NPI Number : 1629217385 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629217385",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEVINE",
    "FirstName": "SHAUNA",
    "MiddleName": "KAY",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "PAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 415348",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02241-5348",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-334-1000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "326 SAINT PAUL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80206-4335",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-334-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/19/2009",
    "LastUpdateDate": "11/12/2025",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA2525",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "2525",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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