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1821397316 NPI number — ABIGAIL C DYM FNP

NPI Number: 1821397316
Health Care Provider/Practitioner: ABIGAIL C DYM FNP

Information about “1821397316” NPI (ABIGAIL C DYM FNP) exists in 1821397316 in HTML format HTML  |  1821397316 in plain Text format TXT  |  1821397316 in PDF (Portable Document Format) PDF  |  1821397316 in an XML format XML  formats.

NPI Number : 1821397316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821397316",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DYM",
    "FirstName": "ABIGAIL",
    "MiddleName": "C",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COOPER",
    "OtherFirstName": "ABIGAIL",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7560 GLENVIEW DR STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHLAND HILLS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76180-8374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-284-2700",
    "MailingAddressFaxNumber": "817-284-2701",
    "FirstLinePracticeLocationAddress": "7560 GLENVIEW DR STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHLAND HILLS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76180",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-284-2700",
    "PracticeLocationAddressFaxNumber": "817-284-2701",
    "EnumerationDate": "03/23/2011",
    "LastUpdateDate": "09/14/2021",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "798349",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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