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1982667457 NPI number — ASHLEY JANE MOREE L.A.T.

NPI Number: 1982667457
Health Care Provider/Practitioner: ASHLEY JANE MOREE L.A.T.

Information about “1982667457” NPI (ASHLEY JANE MOREE L.A.T.) exists in 1982667457 in HTML format HTML  |  1982667457 in plain Text format TXT  |  1982667457 in PDF (Portable Document Format) PDF  |  1982667457 in an XML format XML  formats.

NPI Number : 1982667457 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982667457",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOREE",
    "FirstName": "ASHLEY",
    "MiddleName": "JANE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "L.A.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "417 FANTAIL LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWAY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78734-4871",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-533-6051",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3322 RR 620 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78738",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-533-6051",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/07/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "AT2954",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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