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1881451037 NPI number — AYESHA ANJUM DMD

NPI Number: 1881451037
Health Care Provider/Practitioner: AYESHA ANJUM DMD

Information about “1881451037” NPI (AYESHA ANJUM DMD) exists in 1881451037 in HTML format HTML  |  1881451037 in plain Text format TXT  |  1881451037 in PDF (Portable Document Format) PDF  |  1881451037 in an XML format XML  formats.

NPI Number : 1881451037 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881451037",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANJUM",
    "FirstName": "AYESHA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ANJUM",
    "OtherFirstName": "AYESHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "15801 ARTIST WAY APT 4213",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ADDISON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75001-6179",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "270-799-3260",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3030 LYNDON B JOHNSON FWY STE 1700",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75234-2759",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-663-5396",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/04/2024",
    "LastUpdateDate": "11/29/2024",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "41130",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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