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1720467343 NPI number — MICHEAL ANTHONY LEDING II COTA/L

NPI Number: 1720467343
Health Care Provider/Practitioner: MICHEAL ANTHONY LEDING II COTA/L

Information about “1720467343” NPI (MICHEAL ANTHONY LEDING II COTA/L) exists in 1720467343 in HTML format HTML  |  1720467343 in plain Text format TXT  |  1720467343 in PDF (Portable Document Format) PDF  |  1720467343 in an XML format XML  formats.

NPI Number : 1720467343 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720467343",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEDING",
    "FirstName": "MICHEAL",
    "MiddleName": "ANTHONY",
    "NamePrefix": "MR.",
    "NameSuffix": "II",
    "Credential": "COTA/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEDING",
    "OtherFirstName": "MICHAEL",
    "OtherMiddleName": "ANTHONY",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "II",
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1001 N 49TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT SMITH",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72904-7211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-209-4490",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1001 N 49TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SMITH",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72904-7211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-209-4490",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/28/2015",
    "LastUpdateDate": "05/28/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "OT-A967",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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