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1689355877 NPI number — LILLIAN JUNE MARRIOTT SCAT, ATC

NPI Number: 1689355877
Health Care Provider/Practitioner: LILLIAN JUNE MARRIOTT SCAT, ATC

Information about “1689355877” NPI (LILLIAN JUNE MARRIOTT SCAT, ATC) exists in 1689355877 in HTML format HTML  |  1689355877 in plain Text format TXT  |  1689355877 in PDF (Portable Document Format) PDF  |  1689355877 in an XML format XML  formats.

NPI Number : 1689355877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689355877",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARRIOTT",
    "FirstName": "LILLIAN",
    "MiddleName": "JUNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SCAT, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "531 SALUDA AVE APT 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29205-2235",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-506-2667",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "520 HIGHWAY 1 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMDEN",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29020-2599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-243-9812",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2023",
    "LastUpdateDate": "07/31/2023",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "AT03448",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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