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1831235712 NPI number — LONDON M BACHELLER

NPI Number: 1831235712
Health Care Provider/Practitioner: LONDON M BACHELLER

Information about “1831235712” NPI (LONDON M BACHELLER) exists in 1831235712 in HTML format HTML  |  1831235712 in plain Text format TXT  |  1831235712 in PDF (Portable Document Format) PDF  |  1831235712 in an XML format XML  formats.

NPI Number : 1831235712 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831235712",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BACHELLER",
    "FirstName": "LONDON",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RODRIGUEZ",
    "OtherFirstName": "LONDON",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSCCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 27906",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PANAMA CITY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32411",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-598-5522",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3203 PRESERVE TRAILS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PANAMA CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32408-7132",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-598-5522",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2007",
    "LastUpdateDate": "06/06/2024",
    "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": "SA7605",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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