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1962862870 NPI number — SUSAN J WARD MS, NUTRITION

NPI Number: 1962862870
Health Care Provider/Practitioner: SUSAN J WARD MS, NUTRITION

Information about “1962862870” NPI (SUSAN J WARD MS, NUTRITION) exists in 1962862870 in HTML format HTML  |  1962862870 in plain Text format TXT  |  1962862870 in PDF (Portable Document Format) PDF  |  1962862870 in an XML format XML  formats.

NPI Number : 1962862870 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962862870",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WARD",
    "FirstName": "SUSAN",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, NUTRITION",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "302 WASHINGTON ST",
    "SecondLineMailingAddress": "246",
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92103-2110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-367-8045",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1122 W BURBANK BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURBANK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91506-1414",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-736-9889",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/04/2016",
    "LastUpdateDate": "03/04/2016",
    "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": "133N00000X",
        "TaxonomyName": "Nutritionist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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