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1760013130 NPI number — BRITTNI WOOLWINE RD, LMT

NPI Number: 1760013130
Health Care Provider/Practitioner: BRITTNI WOOLWINE RD, LMT

Information about “1760013130” NPI (BRITTNI WOOLWINE RD, LMT) exists in 1760013130 in HTML format HTML  |  1760013130 in plain Text format TXT  |  1760013130 in PDF (Portable Document Format) PDF  |  1760013130 in an XML format XML  formats.

NPI Number : 1760013130 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760013130",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOOLWINE",
    "FirstName": "BRITTNI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RD, LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WOOLWINE",
    "OtherFirstName": "EDEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "770 W MAIN ST APT 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHRISTIANSBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24073-4347",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-392-9772",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "102 LANDSDOWNE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLACKSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24060-5814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-392-9772",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/03/2020",
    "LastUpdateDate": "02/03/2020",
    "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": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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