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1639543424 NPI number — ADRIENNE ELIZABETH RADCLIFF HEFNER RD/LD

NPI Number: 1639543424
Health Care Provider/Practitioner: ADRIENNE ELIZABETH RADCLIFF HEFNER RD/LD

Information about “1639543424” NPI (ADRIENNE ELIZABETH RADCLIFF HEFNER RD/LD) exists in 1639543424 in HTML format HTML  |  1639543424 in plain Text format TXT  |  1639543424 in PDF (Portable Document Format) PDF  |  1639543424 in an XML format XML  formats.

NPI Number : 1639543424 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639543424",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RADCLIFF HEFNER",
    "FirstName": "ADRIENNE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RD/LD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RADCLIFF",
    "OtherFirstName": "ADRIENNE",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RD/LD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5335 E 29TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TULSA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74114-6305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-625-6263",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4200 W MEMORIAL RD STE 508",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73120-8359",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-755-7561",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/17/2015",
    "LastUpdateDate": "11/30/2020",
    "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": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": "2093",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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