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1659652857 NPI number — JOYCE MARIE OTT R.PH.

NPI Number: 1659652857
Health Care Provider/Practitioner: JOYCE MARIE OTT R.PH.

Information about “1659652857” NPI (JOYCE MARIE OTT R.PH.) exists in 1659652857 in HTML format HTML  |  1659652857 in plain Text format TXT  |  1659652857 in PDF (Portable Document Format) PDF  |  1659652857 in an XML format XML  formats.

NPI Number : 1659652857 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659652857",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OTT",
    "FirstName": "JOYCE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "R.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1905 N JACKSON ST",
    "SecondLineMailingAddress": "STE. 500",
    "MailingAddressCityName": "TULLAHOMA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37388-2200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-454-0482",
    "MailingAddressFaxNumber": "931-461-1191",
    "FirstLinePracticeLocationAddress": "1905 N JACKSON ST",
    "SecondLinePracticeLocationAddress": "STE. 500",
    "PracticeLocationAddressCityName": "TULLAHOMA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37388-2200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-454-0482",
    "PracticeLocationAddressFaxNumber": "931-461-1191",
    "EnumerationDate": "08/31/2011",
    "LastUpdateDate": "08/31/2011",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "0000034109",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "26018310A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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