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1871194225 NPI number — HEATHER ASHLEE FOUNTAIN PHARMD

NPI Number: 1871194225
Health Care Provider/Practitioner: HEATHER ASHLEE FOUNTAIN PHARMD

Information about “1871194225” NPI (HEATHER ASHLEE FOUNTAIN PHARMD) exists in 1871194225 in HTML format HTML  |  1871194225 in plain Text format TXT  |  1871194225 in PDF (Portable Document Format) PDF  |  1871194225 in an XML format XML  formats.

NPI Number : 1871194225 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871194225",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOUNTAIN",
    "FirstName": "HEATHER",
    "MiddleName": "ASHLEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1123 ALDERLY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARNER ROBINS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31088-2221",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-586-6964",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "502 BOOTH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARNER ROBINS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31088-3422",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "478-918-0678",
    "PracticeLocationAddressFaxNumber": "478-918-0675",
    "EnumerationDate": "11/03/2020",
    "LastUpdateDate": "11/03/2020",
    "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": "2007025733",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "031295",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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