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1659334027 NPI number — ANGELA B PAGE AU.D. CCC-A

NPI Number: 1659334027
Health Care Provider/Practitioner: ANGELA B PAGE AU.D. CCC-A

Information about “1659334027” NPI (ANGELA B PAGE AU.D. CCC-A) exists in 1659334027 in HTML format HTML  |  1659334027 in plain Text format TXT  |  1659334027 in PDF (Portable Document Format) PDF  |  1659334027 in an XML format XML  formats.

NPI Number : 1659334027 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659334027",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAGE",
    "FirstName": "ANGELA",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D. CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BARRETT",
    "OtherFirstName": "ANGELA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "AU.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "114 WOODLAND ST",
    "SecondLineMailingAddress": "DEPARTMENT OF REHAB.",
    "MailingAddressCityName": "HARTFORD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06105-1299",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-714-5600",
    "MailingAddressFaxNumber": "860-714-8104",
    "FirstLinePracticeLocationAddress": "114 WOODLAND ST",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF REHAB.",
    "PracticeLocationAddressCityName": "HARTFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06105-1299",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-714-5600",
    "PracticeLocationAddressFaxNumber": "860-714-8104",
    "EnumerationDate": "04/07/2006",
    "LastUpdateDate": "07/05/2012",
    "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": "511",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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