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1629610753 NPI number — DAESHA L PITTS (CPB) CERTIFIED PROF

NPI Number: 1629610753
Health Care Provider/Practitioner: DAESHA L PITTS (CPB) CERTIFIED PROF

Information about “1629610753” NPI (DAESHA L PITTS (CPB) CERTIFIED PROF) exists in 1629610753 in HTML format HTML  |  1629610753 in plain Text format TXT  |  1629610753 in PDF (Portable Document Format) PDF  |  1629610753 in an XML format XML  formats.

NPI Number : 1629610753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629610753",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PITTS",
    "FirstName": "DAESHA",
    "MiddleName": "L",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "(CPB) CERTIFIED PROF",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PITTS",
    "OtherFirstName": "DAESHA",
    "OtherMiddleName": "L",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "(CPB) CERTIFIED PROF",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "312 THOMAS DAVIS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLAYTON",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19938-2578",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-883-7787",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "511 E 12TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESTER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19013-6116",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-883-7787",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2019",
    "LastUpdateDate": "10/10/2019",
    "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": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": "826112",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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