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1740300300 NPI number — KAY W ANDERSON OTR L

NPI Number: 1740300300
Health Care Provider/Practitioner: KAY W ANDERSON OTR L

Information about “1740300300” NPI (KAY W ANDERSON OTR L) exists in 1740300300 in HTML format HTML  |  1740300300 in plain Text format TXT  |  1740300300 in PDF (Portable Document Format) PDF  |  1740300300 in an XML format XML  formats.

NPI Number : 1740300300 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740300300",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "KAY",
    "MiddleName": "W",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "OTR L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9052 W HEATHWOOD CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NILES",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60714-5801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-663-2300",
    "MailingAddressFaxNumber": "847-663-2400",
    "FirstLinePracticeLocationAddress": "9811 WOODS DR",
    "SecondLinePracticeLocationAddress": "H 190",
    "PracticeLocationAddressCityName": "SKOKIE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60077-1074",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-663-2300",
    "PracticeLocationAddressFaxNumber": "847-663-2400",
    "EnumerationDate": "03/29/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "225XP0200X",
        "TaxonomyName": "Pediatric Occupational Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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