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1912418542 NPI number — HOLLY FRANCES ALLEN BS & MSPC

NPI Number: 1912418542
Health Care Provider/Practitioner: HOLLY FRANCES ALLEN BS & MSPC

Information about “1912418542” NPI (HOLLY FRANCES ALLEN BS & MSPC) exists in 1912418542 in HTML format HTML  |  1912418542 in plain Text format TXT  |  1912418542 in PDF (Portable Document Format) PDF  |  1912418542 in an XML format XML  formats.

NPI Number : 1912418542 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912418542",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALLEN",
    "FirstName": "HOLLY",
    "MiddleName": "FRANCES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BS & MSPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RULOFSON",
    "OtherFirstName": "HOLLY",
    "OtherMiddleName": "FRANCES",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "BS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2706 ANKENY WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCK SPRINGS",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82901-5649",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-352-6677",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2706 ANKENY WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCK SPRINGS",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82901-5649",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-352-6677",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/23/2017",
    "LastUpdateDate": "06/22/2021",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "PPC-1060",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "LPC1962",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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