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1801012968 NPI number — MS. SUSAN RHEA LEE

NPI Number: 1801012968
Health Care Provider/Practitioner: MS. SUSAN RHEA LEE

Information about “1801012968” NPI (MS. SUSAN RHEA LEE) exists in 1801012968 in HTML format HTML  |  1801012968 in plain Text format TXT  |  1801012968 in PDF (Portable Document Format) PDF  |  1801012968 in an XML format XML  formats.

NPI Number : 1801012968 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801012968",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "SUSAN",
    "MiddleName": "RHEA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "311 NEWBURY STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANVERS",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01923-1723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-605-0100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "311 NEWBURY STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANVERS",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01923-1723",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-605-0100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/17/2007",
    "LastUpdateDate": "09/25/2017",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "076422-23",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "RN228941",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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