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1780928044 NPI number — MARY M. MCALONIE OT

NPI Number: 1780928044
Health Care Provider/Practitioner: MARY M. MCALONIE OT

Information about “1780928044” NPI (MARY M. MCALONIE OT) exists in 1780928044 in HTML format HTML  |  1780928044 in plain Text format TXT  |  1780928044 in PDF (Portable Document Format) PDF  |  1780928044 in an XML format XML  formats.

NPI Number : 1780928044 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780928044",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCALONIE",
    "FirstName": "MARY",
    "MiddleName": "M.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2926",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCCALL",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83638-2926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-813-1578",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "418 FLOYDE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCCALL",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83638-4508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-634-2112",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/26/2012",
    "LastUpdateDate": "01/09/2021",
    "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": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "006582-01",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT-391",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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