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1790476901 NPI number — HALEY RAE STEWART LAC

NPI Number: 1790476901
Health Care Provider/Practitioner: HALEY RAE STEWART LAC

Information about “1790476901” NPI (HALEY RAE STEWART LAC) exists in 1790476901 in HTML format HTML  |  1790476901 in plain Text format TXT  |  1790476901 in PDF (Portable Document Format) PDF  |  1790476901 in an XML format XML  formats.

NPI Number : 1790476901 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790476901",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEWART",
    "FirstName": "HALEY",
    "MiddleName": "RAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHILES",
    "OtherFirstName": "HALEY",
    "OtherMiddleName": "RAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LAC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4054 S RICHFIELD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AURORA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80013-3249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-775-8737",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3141 CENTENNIAL BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80907",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-327-5660",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2023",
    "LastUpdateDate": "04/17/2025",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "ACU.0002483",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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