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1922866052 NPI number — MRS. KAYLE DICKIE LUCAS

NPI Number: 1922866052
Health Care Provider/Practitioner: MRS. KAYLE DICKIE LUCAS

Information about “1922866052” NPI (MRS. KAYLE DICKIE LUCAS) exists in 1922866052 in HTML format HTML  |  1922866052 in plain Text format TXT  |  1922866052 in PDF (Portable Document Format) PDF  |  1922866052 in an XML format XML  formats.

NPI Number : 1922866052 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922866052",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUCAS",
    "FirstName": "KAYLE",
    "MiddleName": "DICKIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3527 COUNTY HIGHWAY 24",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35146-8841",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-446-8860",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1318 ALFORD AVE STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOOVER",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35226-3167",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-784-8410",
    "PracticeLocationAddressFaxNumber": "866-635-1797",
    "EnumerationDate": "03/12/2024",
    "LastUpdateDate": "03/12/2024",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "4561G",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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