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1629285325 NPI number — TINA MAY SOCOTCH M.S.

NPI Number: 1629285325
Health Care Provider/Practitioner: TINA MAY SOCOTCH M.S.

Information about “1629285325” NPI (TINA MAY SOCOTCH M.S.) exists in 1629285325 in HTML format HTML  |  1629285325 in plain Text format TXT  |  1629285325 in PDF (Portable Document Format) PDF  |  1629285325 in an XML format XML  formats.

NPI Number : 1629285325 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629285325",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOCOTCH",
    "FirstName": "TINA",
    "MiddleName": "MAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JESSUP",
    "OtherFirstName": "TINA",
    "OtherMiddleName": "MAY SOCOTCH",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "400 MIDDLETOWN BLVD",
    "SecondLineMailingAddress": "SUITE 100",
    "MailingAddressCityName": "LANGHORNE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19047-1819",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-757-5913",
    "MailingAddressFaxNumber": "215-750-7349",
    "FirstLinePracticeLocationAddress": "400 MIDDLETOWN BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "LANGHORNE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19047-1819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-757-5913",
    "PracticeLocationAddressFaxNumber": "215-750-7349",
    "EnumerationDate": "05/16/2007",
    "LastUpdateDate": "09/11/2025",
    "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": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "41YA00064700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "AT005905",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "25MG00099900",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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