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1841329695 NPI number — MRS. JESSICA RAE WYLIE

NPI Number: 1841329695
Health Care Provider/Practitioner: MRS. JESSICA RAE WYLIE

Information about “1841329695” NPI (MRS. JESSICA RAE WYLIE) exists in 1841329695 in HTML format HTML  |  1841329695 in plain Text format TXT  |  1841329695 in PDF (Portable Document Format) PDF  |  1841329695 in an XML format XML  formats.

NPI Number : 1841329695 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841329695",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WYLIE",
    "FirstName": "JESSICA",
    "MiddleName": "RAE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BEAGLE",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "RAE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1026 DENMAN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COSHOCTON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43812-2575",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-502-9281",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1026 DENMAN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COSHOCTON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43812-2575",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-502-9281",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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