NPI Code Detail JSON Logo

1700279940 NPI number — TONYA JEANENE TAJOURI CRT

NPI Number: 1700279940
Health Care Provider/Practitioner: TONYA JEANENE TAJOURI CRT

Information about “1700279940” NPI (TONYA JEANENE TAJOURI CRT) exists in 1700279940 in HTML format HTML  |  1700279940 in plain Text format TXT  |  1700279940 in PDF (Portable Document Format) PDF  |  1700279940 in an XML format XML  formats.

NPI Number : 1700279940 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700279940",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAJOURI",
    "FirstName": "TONYA",
    "MiddleName": "JEANENE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8012 GODFREY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GODFREY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62035-2831",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-410-4620",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8012 GODFREY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GODFREY",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62035-2831",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-410-4620",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/12/2015",
    "LastUpdateDate": "03/12/2015",
    "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": "227800000X",
          "TaxonomyName": "Certified Respiratory Therapist",
          "LicenseNumber": "2010008030",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "227800000X",
          "TaxonomyName": "Certified Respiratory Therapist",
          "LicenseNumber": "194005194",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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