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1811481922 NPI number — GENEVIEVE TATARA DPT

NPI Number: 1811481922
Health Care Provider/Practitioner: GENEVIEVE TATARA DPT

Information about “1811481922” NPI (GENEVIEVE TATARA DPT) exists in 1811481922 in HTML format HTML  |  1811481922 in plain Text format TXT  |  1811481922 in PDF (Portable Document Format) PDF  |  1811481922 in an XML format XML  formats.

NPI Number : 1811481922 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811481922",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TATARA",
    "FirstName": "GENEVIEVE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "659 S SALISBURY BLVD STE 1B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALISBURY",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21801-5458",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-831-3226",
    "MailingAddressFaxNumber": "410-677-0883",
    "FirstLinePracticeLocationAddress": "34434 KING STREET ROW UNIT 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWES",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19958-4787",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-200-9920",
    "PracticeLocationAddressFaxNumber": "302-703-6652",
    "EnumerationDate": "06/21/2018",
    "LastUpdateDate": "06/21/2018",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "JT-0000952",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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