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1659526143 NPI number — LISA ANN DANIEL RDH

NPI Number: 1659526143
Health Care Provider/Practitioner: LISA ANN DANIEL RDH

Information about “1659526143” NPI (LISA ANN DANIEL RDH) exists in 1659526143 in HTML format HTML  |  1659526143 in plain Text format TXT  |  1659526143 in PDF (Portable Document Format) PDF  |  1659526143 in an XML format XML  formats.

NPI Number : 1659526143 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659526143",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANIEL",
    "FirstName": "LISA",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RDH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 LAKE TRAVERSE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SISSETON",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57262-7046",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-615-8425",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 LAKE TRAVERSE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SISSETON",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57262-7046",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-615-8425",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2008",
    "LastUpdateDate": "01/25/2017",
    "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": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "0402204109",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "2902008683",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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