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1881082485 NPI number — EUDINE STEVENS CPM

NPI Number: 1881082485
Health Care Provider/Practitioner: EUDINE STEVENS CPM

Information about “1881082485” NPI (EUDINE STEVENS CPM) exists in 1881082485 in HTML format HTML  |  1881082485 in plain Text format TXT  |  1881082485 in PDF (Portable Document Format) PDF  |  1881082485 in an XML format XML  formats.

NPI Number : 1881082485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881082485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEVENS",
    "FirstName": "EUDINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 63",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONDE",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57434-0063",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-939-1960",
    "MailingAddressFaxNumber": "877-922-7925",
    "FirstLinePracticeLocationAddress": "550 BROADWAY ST NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONDE",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57434-2017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-939-1960",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/05/2015",
    "LastUpdateDate": "07/28/2022",
    "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": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "MW60568305",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "002102",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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