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1700928488 NPI number — JUDY ANN TAYLOR DDS,SPEECHPATH

NPI Number: 1700928488
Health Care Provider/Practitioner: JUDY ANN TAYLOR DDS,SPEECHPATH

Information about “1700928488” NPI (JUDY ANN TAYLOR DDS,SPEECHPATH) exists in 1700928488 in HTML format HTML  |  1700928488 in plain Text format TXT  |  1700928488 in PDF (Portable Document Format) PDF  |  1700928488 in an XML format XML  formats.

NPI Number : 1700928488 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700928488",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR",
    "FirstName": "JUDY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS,SPEECHPATH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "175 EAST 96TH STREET",
    "SecondLineMailingAddress": "SUITE 9R",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10128",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-235-4456",
    "MailingAddressFaxNumber": "212-410-6387",
    "FirstLinePracticeLocationAddress": "175 EAST 96TH STREET",
    "SecondLinePracticeLocationAddress": "SUITE 9R",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10128",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-235-4456",
    "PracticeLocationAddressFaxNumber": "212-410-6387",
    "EnumerationDate": "02/12/2007",
    "LastUpdateDate": "04/14/2014",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "035649",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "174",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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