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1740491364 NPI number — MARGUERITE WESTON MD

NPI Number: 1740491364
Health Care Provider/Practitioner: MARGUERITE WESTON MD

Information about “1740491364” NPI (MARGUERITE WESTON MD) exists in 1740491364 in HTML format HTML  |  1740491364 in plain Text format TXT  |  1740491364 in PDF (Portable Document Format) PDF  |  1740491364 in an XML format XML  formats.

NPI Number : 1740491364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740491364",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WESTON",
    "FirstName": "MARGUERITE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WINSLOW",
    "OtherFirstName": "MARGUERITE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5400 FRANTZ RD",
    "SecondLineMailingAddress": "SUITE 250",
    "MailingAddressCityName": "DUBLIN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43016-4144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "300 POLARIS PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 2150",
    "PracticeLocationAddressCityName": "WESTERVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43082-7989",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-533-3280",
    "PracticeLocationAddressFaxNumber": "614-533-3289",
    "EnumerationDate": "05/25/2007",
    "LastUpdateDate": "01/25/2022",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "65013-20",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "57010839",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207QS0010X",
          "TaxonomyName": "Sports Medicine (Family Medicine) Physician",
          "LicenseNumber": "27596",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "35090718",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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