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1902652266 NPI number — CHAUNTEL VERNAE RICHARDSON MPH, CHES

NPI Number: 1902652266
Health Care Provider/Practitioner: CHAUNTEL VERNAE RICHARDSON MPH, CHES

Information about “1902652266” NPI (CHAUNTEL VERNAE RICHARDSON MPH, CHES) exists in 1902652266 in HTML format HTML  |  1902652266 in plain Text format TXT  |  1902652266 in PDF (Portable Document Format) PDF  |  1902652266 in an XML format XML  formats.

NPI Number : 1902652266 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902652266",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHARDSON",
    "FirstName": "CHAUNTEL",
    "MiddleName": "VERNAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MPH, CHES",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5 PARKDALE PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARLTON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08053-3847",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-834-8544",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5 PARKDALE PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARLTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08053-3847",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-834-8544",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/27/2024",
    "LastUpdateDate": "04/27/2024",
    "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": "174H00000X",
          "TaxonomyName": "Health Educator",
          "LicenseNumber": "25240",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": "25240",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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