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1669703302 NPI number — MARY ELIZABETH DAY M.S. , R.D.

NPI Number: 1669703302
Health Care Provider/Practitioner: MARY ELIZABETH DAY M.S. , R.D.

Information about “1669703302” NPI (MARY ELIZABETH DAY M.S. , R.D.) exists in 1669703302 in HTML format HTML  |  1669703302 in plain Text format TXT  |  1669703302 in PDF (Portable Document Format) PDF  |  1669703302 in an XML format XML  formats.

NPI Number : 1669703302 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669703302",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAY",
    "FirstName": "MARY",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S. , R.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAY",
    "OtherFirstName": "BETSY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., R.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "900 S SHACKLEFORD RD",
    "SecondLineMailingAddress": "STE 300",
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72211-3848",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-352-7535",
    "MailingAddressFaxNumber": "501-500-9370",
    "FirstLinePracticeLocationAddress": "900 S SHACKLEFORD RD",
    "SecondLinePracticeLocationAddress": "STE 300",
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72211-3848",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-352-7535",
    "PracticeLocationAddressFaxNumber": "501-500-6370",
    "EnumerationDate": "01/20/2010",
    "LastUpdateDate": "11/01/2020",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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