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1841631264 NPI number — ASHLEY MURCHISON DUFOUR

NPI Number: 1841631264
Health Care Provider/Practitioner: ASHLEY MURCHISON DUFOUR

Information about “1841631264” NPI (ASHLEY MURCHISON DUFOUR) exists in 1841631264 in HTML format HTML  |  1841631264 in plain Text format TXT  |  1841631264 in PDF (Portable Document Format) PDF  |  1841631264 in an XML format XML  formats.

NPI Number : 1841631264 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841631264",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUFOUR",
    "FirstName": "ASHLEY",
    "MiddleName": "MURCHISON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6500 N. MOPAC EXPWY",
    "SecondLineMailingAddress": "BLDG 2, STE 2102",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78727-3416",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-476-6060",
    "MailingAddressFaxNumber": "512-476-0909",
    "FirstLinePracticeLocationAddress": "6500 N MOPAC EXPY",
    "SecondLinePracticeLocationAddress": "BUILDING 2, SUITE 2102",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78731-3282",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-476-6060",
    "PracticeLocationAddressFaxNumber": "512-476-0909",
    "EnumerationDate": "07/14/2013",
    "LastUpdateDate": "10/11/2016",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "PA08490",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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