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1841523966 NPI number — NICHOLE LYNN WILLIAMS OTR/L

NPI Number: 1841523966
Health Care Provider/Practitioner: NICHOLE LYNN WILLIAMS OTR/L

Information about “1841523966” NPI (NICHOLE LYNN WILLIAMS OTR/L) exists in 1841523966 in HTML format HTML  |  1841523966 in plain Text format TXT  |  1841523966 in PDF (Portable Document Format) PDF  |  1841523966 in an XML format XML  formats.

NPI Number : 1841523966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841523966",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "NICHOLE",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRACY",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1005 E 23RD ST",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "FREMONT",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68025-0800",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "186-678-4232",
    "MailingAddressFaxNumber": "187-755-0660",
    "FirstLinePracticeLocationAddress": "1005 E 23RD ST",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "FREMONT",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68025-0800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "192-875-5450",
    "PracticeLocationAddressFaxNumber": "192-875-5456",
    "EnumerationDate": "09/08/2009",
    "LastUpdateDate": "09/08/2009",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "3721",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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