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1699243717 NPI number — EMILIE H WOODWARD

NPI Number: 1699243717
Health Care Provider/Practitioner: EMILIE H WOODWARD

Information about “1699243717” NPI (EMILIE H WOODWARD) exists in 1699243717 in HTML format HTML  |  1699243717 in plain Text format TXT  |  1699243717 in PDF (Portable Document Format) PDF  |  1699243717 in an XML format XML  formats.

NPI Number : 1699243717 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699243717",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOODWARD",
    "FirstName": "EMILIE",
    "MiddleName": "H",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3517 INDUSTRIAL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRBANKS",
    "MailingAddressStateName": "AK",
    "MailingAddressPostalCode": "99701-7377",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "907-455-9255",
    "MailingAddressFaxNumber": "907-452-1789",
    "FirstLinePracticeLocationAddress": "3517 INDUSTRIAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRBANKS",
    "PracticeLocationAddressStateName": "AK",
    "PracticeLocationAddressPostalCode": "99701-7377",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-455-9255",
    "PracticeLocationAddressFaxNumber": "907-452-1789",
    "EnumerationDate": "11/06/2018",
    "LastUpdateDate": "07/05/2021",
    "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": "1744P3200X",
          "TaxonomyName": "Prosthetics Case Management",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246YC3302X",
          "TaxonomyName": "Physician Office Based Coding Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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