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1932639325 NPI number — TIFFANI LYNN STREETMAN ATC

NPI Number: 1932639325
Health Care Provider/Practitioner: TIFFANI LYNN STREETMAN ATC

Information about “1932639325” NPI (TIFFANI LYNN STREETMAN ATC) exists in 1932639325 in HTML format HTML  |  1932639325 in plain Text format TXT  |  1932639325 in PDF (Portable Document Format) PDF  |  1932639325 in an XML format XML  formats.

NPI Number : 1932639325 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932639325",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STREETMAN",
    "FirstName": "TIFFANI",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MEREDITH",
    "OtherFirstName": "TIFFANI",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "701 WELLINGTON HILLS RD APT 217",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72211-2174",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-282-7256",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "300 PROSPECT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOT SPRINGS",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "71901-4003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-264-5384",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2017",
    "LastUpdateDate": "06/18/2017",
    "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": "753",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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