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1710181375 NPI number — DANA LYNN ESHAM MD

NPI Number: 1710181375
Health Care Provider/Practitioner: DANA LYNN ESHAM MD

Information about “1710181375” NPI (DANA LYNN ESHAM MD) exists in 1710181375 in HTML format HTML  |  1710181375 in plain Text format TXT  |  1710181375 in PDF (Portable Document Format) PDF  |  1710181375 in an XML format XML  formats.

NPI Number : 1710181375 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710181375",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESHAM",
    "FirstName": "DANA",
    "MiddleName": "LYNN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9800 SHELBYVILLE RD STE 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40223-2992",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-999-1249",
    "MailingAddressFaxNumber": "614-846-6504",
    "FirstLinePracticeLocationAddress": "3 HEALTH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHILLICOTHEE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45601-8604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-999-1249",
    "PracticeLocationAddressFaxNumber": "614-846-6504",
    "EnumerationDate": "06/14/2007",
    "LastUpdateDate": "03/31/2025",
    "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": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "BP1-0026317",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207K00000X",
          "TaxonomyName": "Allergy & Immunology Physician",
          "LicenseNumber": "35.098519",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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