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1629831151 NPI number — CATHERINE GOFORTH-DENT ACSM-CEP

NPI Number: 1629831151
Health Care Provider/Practitioner: CATHERINE GOFORTH-DENT ACSM-CEP

Information about “1629831151” NPI (CATHERINE GOFORTH-DENT ACSM-CEP) exists in 1629831151 in HTML format HTML  |  1629831151 in plain Text format TXT  |  1629831151 in PDF (Portable Document Format) PDF  |  1629831151 in an XML format XML  formats.

NPI Number : 1629831151 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629831151",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOFORTH-DENT",
    "FirstName": "CATHERINE",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ACSM-CEP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SWEDLUND",
    "OtherFirstName": "CATHERINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "ACSM-CEP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3640 HIGH ST STE 2D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTSMOUTH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23707-3213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "325-280-2013",
    "MailingAddressFaxNumber": "757-398-9281",
    "FirstLinePracticeLocationAddress": "3640 HIGH ST STE 2D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTSMOUTH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23707-3213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "325-280-2013",
    "PracticeLocationAddressFaxNumber": "757-398-9281",
    "EnumerationDate": "02/06/2024",
    "LastUpdateDate": "02/06/2024",
    "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": "224Y00000X",
        "TaxonomyName": "Clinical Exercise Physiologist",
        "LicenseNumber": "919938",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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