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1851794036 NPI number — PATRICIA BERNICE ARNDT SLP

NPI Number: 1851794036
Health Care Provider/Practitioner: PATRICIA BERNICE ARNDT SLP

Information about “1851794036” NPI (PATRICIA BERNICE ARNDT SLP) exists in 1851794036 in HTML format HTML  |  1851794036 in plain Text format TXT  |  1851794036 in PDF (Portable Document Format) PDF  |  1851794036 in an XML format XML  formats.

NPI Number : 1851794036 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851794036",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARNDT",
    "FirstName": "PATRICIA",
    "MiddleName": "BERNICE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CUYPERS",
    "OtherFirstName": "PATRICIA",
    "OtherMiddleName": "BERNICE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7274 108TH AVE SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAMOURE",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58458-9409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-883-5464",
    "MailingAddressFaxNumber": "701-883-5464",
    "FirstLinePracticeLocationAddress": "119 MAIN STREET SE",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "LAMOURE",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58458-0007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-883-5464",
    "PracticeLocationAddressFaxNumber": "701-883-5464",
    "EnumerationDate": "10/02/2014",
    "LastUpdateDate": "10/02/2014",
    "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": "1376",
        "LicenseNumberStateCode": "ND",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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