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1871830760 NPI number — RHONDA ROBERTS OSISEK MS. CCC-SLP

NPI Number: 1871830760
Health Care Provider/Practitioner: RHONDA ROBERTS OSISEK MS. CCC-SLP

Information about “1871830760” NPI (RHONDA ROBERTS OSISEK MS. CCC-SLP) exists in 1871830760 in HTML format HTML  |  1871830760 in plain Text format TXT  |  1871830760 in PDF (Portable Document Format) PDF  |  1871830760 in an XML format XML  formats.

NPI Number : 1871830760 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871830760",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSISEK",
    "FirstName": "RHONDA",
    "MiddleName": "ROBERTS",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS. CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROBERTS",
    "OtherFirstName": "RHOND",
    "OtherMiddleName": "DAWN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4908 BRADPOINTE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIRGINIA BEACH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23455-1341",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-639-6342",
    "MailingAddressFaxNumber": "757-467-7900",
    "FirstLinePracticeLocationAddress": "600 INDEPENDENCE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VIRGINIA BEACH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23462-2223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-422-6342",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/11/2013",
    "LastUpdateDate": "09/26/2024",
    "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": "2202003836",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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