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1811431083 NPI number — MS. WENDY L PARRY

NPI Number: 1811431083
Health Care Provider/Practitioner: MS. WENDY L PARRY

Information about “1811431083” NPI (MS. WENDY L PARRY) exists in 1811431083 in HTML format HTML  |  1811431083 in plain Text format TXT  |  1811431083 in PDF (Portable Document Format) PDF  |  1811431083 in an XML format XML  formats.

NPI Number : 1811431083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811431083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARRY",
    "FirstName": "WENDY",
    "MiddleName": "L",
    "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": "398 192ND ARMOR TANK BATTALION RD",
    "SecondLineMailingAddress": "USA DENTAC HQS BLDG 1022",
    "MailingAddressCityName": "FORT KNOX",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40121-5116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-624-6158",
    "MailingAddressFaxNumber": "502-624-2966",
    "FirstLinePracticeLocationAddress": "962 1ST INFANTRY DIVISION RD",
    "SecondLinePracticeLocationAddress": "JORDAN DENTAL CLINIC BLDG 2724",
    "PracticeLocationAddressCityName": "FORT KNOX",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40121-5210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-626-8301",
    "PracticeLocationAddressFaxNumber": "502-626-8300",
    "EnumerationDate": "12/07/2016",
    "LastUpdateDate": "12/07/2016",
    "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": "126800000X",
        "TaxonomyName": "Dental Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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