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1629750278 NPI number — ANNE COLETTE BANEY DPT

NPI Number: 1629750278
Health Care Provider/Practitioner: ANNE COLETTE BANEY DPT

Information about “1629750278” NPI (ANNE COLETTE BANEY DPT) exists in 1629750278 in HTML format HTML  |  1629750278 in plain Text format TXT  |  1629750278 in PDF (Portable Document Format) PDF  |  1629750278 in an XML format XML  formats.

NPI Number : 1629750278 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629750278",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BANEY",
    "FirstName": "ANNE",
    "MiddleName": "COLETTE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5 KEITH CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLEETWOOD",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19522-8542",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-781-8186",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "870 GORDON NAGLE TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POTTSVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17901-4203",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-399-5331",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2023",
    "LastUpdateDate": "08/03/2023",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT031431",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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