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1710468921 NPI number — JADE CHAVALIAR SOWELL-HUNDON ATC

NPI Number: 1710468921
Health Care Provider/Practitioner: JADE CHAVALIAR SOWELL-HUNDON ATC

Information about “1710468921” NPI (JADE CHAVALIAR SOWELL-HUNDON ATC) exists in 1710468921 in HTML format HTML  |  1710468921 in plain Text format TXT  |  1710468921 in PDF (Portable Document Format) PDF  |  1710468921 in an XML format XML  formats.

NPI Number : 1710468921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710468921",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOWELL-HUNDON",
    "FirstName": "JADE",
    "MiddleName": "CHAVALIAR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2539 GRAND AVE APT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND JUNCTION",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81501-8074",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-578-0802",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2646 PATTERSON RD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND JUNCTION",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81506-1941",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-242-5585",
    "PracticeLocationAddressFaxNumber": "970-242-1740",
    "EnumerationDate": "08/25/2018",
    "LastUpdateDate": "08/25/2018",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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