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1942503420 NPI number — MRS. CHARISSA MCALEER

NPI Number: 1942503420
Health Care Provider/Practitioner: MRS. CHARISSA MCALEER

Information about “1942503420” NPI (MRS. CHARISSA MCALEER) exists in 1942503420 in HTML format HTML  |  1942503420 in plain Text format TXT  |  1942503420 in PDF (Portable Document Format) PDF  |  1942503420 in an XML format XML  formats.

NPI Number : 1942503420 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942503420",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCALEER",
    "FirstName": "CHARISSA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FLESCHER",
    "OtherFirstName": "CHARISSA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "L.M.T",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6811 NE 121ST AVE",
    "SecondLineMailingAddress": "APT AA233",
    "MailingAddressCityName": "VANCOUVER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98682-5571",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-931-6435",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7604 NE 5TH AVE",
    "SecondLinePracticeLocationAddress": "#109",
    "PracticeLocationAddressCityName": "VANCOUVER",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98665-8200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-314-4380",
    "PracticeLocationAddressFaxNumber": "360-448-2857",
    "EnumerationDate": "12/06/2010",
    "LastUpdateDate": "12/06/2010",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "MA60183724",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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