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1881855799 NPI number — ALYSSA SMITH KEIMIG D.C.

NPI Number: 1881855799
Health Care Provider/Practitioner: ALYSSA SMITH KEIMIG D.C.

Information about “1881855799” NPI (ALYSSA SMITH KEIMIG D.C.) exists in 1881855799 in HTML format HTML  |  1881855799 in plain Text format TXT  |  1881855799 in PDF (Portable Document Format) PDF  |  1881855799 in an XML format XML  formats.

NPI Number : 1881855799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881855799",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEIMIG",
    "FirstName": "ALYSSA",
    "MiddleName": "SMITH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH",
    "OtherFirstName": "ALYSSA",
    "OtherMiddleName": "KRISTINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "14038 HAZELWOOD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32224-0869",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-235-6039",
    "MailingAddressFaxNumber": "904-212-1072",
    "FirstLinePracticeLocationAddress": "983 ATLANTIC BLVD STE 119",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTIC BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32233-3311",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-203-4983",
    "PracticeLocationAddressFaxNumber": "904-212-1072",
    "EnumerationDate": "06/23/2008",
    "LastUpdateDate": "07/07/2023",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "CH11590",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "S03575",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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