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1902095383 NPI number — CAYCE MCCALL PATTERSON

NPI Number: 1902095383
Health Care Provider/Practitioner: CAYCE MCCALL PATTERSON

Information about “1902095383” NPI (CAYCE MCCALL PATTERSON) exists in 1902095383 in HTML format HTML  |  1902095383 in plain Text format TXT  |  1902095383 in PDF (Portable Document Format) PDF  |  1902095383 in an XML format XML  formats.

NPI Number : 1902095383 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902095383",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATTERSON",
    "FirstName": "CAYCE",
    "MiddleName": "MCCALL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4141 BABSON RD NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28420-3833",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-754-6104",
    "MailingAddressFaxNumber": "910-287-5123",
    "FirstLinePracticeLocationAddress": "35 REFERENDUM DR",
    "SecondLinePracticeLocationAddress": "BRUNSWICK COUNTY SCHOOLS",
    "PracticeLocationAddressCityName": "BOLIVIA",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28422",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-754-6104",
    "PracticeLocationAddressFaxNumber": "910-754-3112",
    "EnumerationDate": "10/22/2007",
    "LastUpdateDate": "10/22/2007",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "7656",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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