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1801040498 NPI number — JANICE MARIE DIMONDA CCC-SLP

NPI Number: 1801040498
Health Care Provider/Practitioner: JANICE MARIE DIMONDA CCC-SLP

Information about “1801040498” NPI (JANICE MARIE DIMONDA CCC-SLP) exists in 1801040498 in HTML format HTML  |  1801040498 in plain Text format TXT  |  1801040498 in PDF (Portable Document Format) PDF  |  1801040498 in an XML format XML  formats.

NPI Number : 1801040498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801040498",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIMONDA",
    "FirstName": "JANICE",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUNGER",
    "OtherFirstName": "JANICE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5407 FIRETHORN PT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRING HILL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34609-9512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-408-3421",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5327 COMMERCIAL WAY UNIT A102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRING HILL",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34606-1499",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-314-5326",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/09/2008",
    "LastUpdateDate": "10/25/2021",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "0111261",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SA16220",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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