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1689792517 NPI number — PAMELA ELAINE COON LMT, NCTMB

NPI Number: 1689792517
Health Care Provider/Practitioner: PAMELA ELAINE COON LMT, NCTMB

Information about “1689792517” NPI (PAMELA ELAINE COON LMT, NCTMB) exists in 1689792517 in HTML format HTML  |  1689792517 in plain Text format TXT  |  1689792517 in PDF (Portable Document Format) PDF  |  1689792517 in an XML format XML  formats.

NPI Number : 1689792517 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689792517",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COON",
    "FirstName": "PAMELA",
    "MiddleName": "ELAINE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "LMT, NCTMB",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3224 OLD STATE ROUTE 32",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BATAVIA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45103-3316",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-646-4193",
    "MailingAddressFaxNumber": "513-724-5279",
    "FirstLinePracticeLocationAddress": "4592 MONTGOMERY ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45212-3118",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-985-5455",
    "PracticeLocationAddressFaxNumber": "513-891-7286",
    "EnumerationDate": "03/27/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "33012396",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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