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1871053959 NPI number — MICHELLE COOPER-LYNN

NPI Number: 1871053959
Health Care Provider/Practitioner: MICHELLE COOPER-LYNN

Information about “1871053959” NPI (MICHELLE COOPER-LYNN) exists in 1871053959 in HTML format HTML  |  1871053959 in plain Text format TXT  |  1871053959 in PDF (Portable Document Format) PDF  |  1871053959 in an XML format XML  formats.

NPI Number : 1871053959 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871053959",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COOPER-LYNN",
    "FirstName": "MICHELLE",
    "MiddleName": null,
    "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": "14311 BISCAYNE BLVD # 3862",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33261-3479",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-440-5182",
    "MailingAddressFaxNumber": "888-410-2849",
    "FirstLinePracticeLocationAddress": "3051 NW 151ST TER",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OPA LOCKA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33054-2543",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-942-1318",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2019",
    "LastUpdateDate": "04/24/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/23/2019",
    "NPIReactivationDate": "04/24/2019",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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