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1861635468 NPI number — GENA HAWKS STEWART D.PH.

NPI Number: 1861635468
Health Care Provider/Practitioner: GENA HAWKS STEWART D.PH.

Information about “1861635468” NPI (GENA HAWKS STEWART D.PH.) exists in 1861635468 in HTML format HTML  |  1861635468 in plain Text format TXT  |  1861635468 in PDF (Portable Document Format) PDF  |  1861635468 in an XML format XML  formats.

NPI Number : 1861635468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861635468",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEWART",
    "FirstName": "GENA",
    "MiddleName": "HAWKS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "117 LAKE FOREST RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROGERSVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37857-7120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-272-2185",
    "MailingAddressFaxNumber": "423-293-0604",
    "FirstLinePracticeLocationAddress": "114 BELLAMY AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SURGOINSVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37873",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-923-7900",
    "PracticeLocationAddressFaxNumber": "423-293-0604",
    "EnumerationDate": "04/13/2009",
    "LastUpdateDate": "08/20/2009",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "7316",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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