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1912365925 NPI number — CHRISTINE PAMELA BECKMAN ATC

NPI Number: 1912365925
Health Care Provider/Practitioner: CHRISTINE PAMELA BECKMAN ATC

Information about “1912365925” NPI (CHRISTINE PAMELA BECKMAN ATC) exists in 1912365925 in HTML format HTML  |  1912365925 in plain Text format TXT  |  1912365925 in PDF (Portable Document Format) PDF  |  1912365925 in an XML format XML  formats.

NPI Number : 1912365925 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912365925",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BECKMAN",
    "FirstName": "CHRISTINE",
    "MiddleName": "PAMELA",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "628 BROADWAY",
    "SecondLineMailingAddress": "APT B",
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31901-2973",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "301 WIRE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUBURN",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36849-5419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-844-4483",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/04/2016",
    "LastUpdateDate": "02/04/2016",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "AT002405",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "J3-0000441",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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