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1770515983 NPI number — JILL R WHITE MD

NPI Number: 1770515983
Health Care Provider/Practitioner: JILL R WHITE MD

Information about “1770515983” NPI (JILL R WHITE MD) exists in 1770515983 in HTML format HTML  |  1770515983 in plain Text format TXT  |  1770515983 in PDF (Portable Document Format) PDF  |  1770515983 in an XML format XML  formats.

NPI Number : 1770515983 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770515983",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITE",
    "FirstName": "JILL",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RYDQUIST",
    "OtherFirstName": "JILL",
    "OtherMiddleName": "ERIN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3824 NORTHERN PIKE",
    "SecondLineMailingAddress": "SUITE 700",
    "MailingAddressCityName": "MONROEVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15146-2141",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-457-0060",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "310 RODI RD",
    "SecondLinePracticeLocationAddress": "STE 140",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15235-3318",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-371-6414",
    "PracticeLocationAddressFaxNumber": "412-371-9739",
    "EnumerationDate": "07/07/2006",
    "LastUpdateDate": "11/04/2020",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "MD064480L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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