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1982974481 NPI number — KARIN SPRUILL I P.T.

NPI Number: 1982974481
Health Care Provider/Practitioner: KARIN SPRUILL I P.T.

Information about “1982974481” NPI (KARIN SPRUILL I P.T.) exists in 1982974481 in HTML format HTML  |  1982974481 in plain Text format TXT  |  1982974481 in PDF (Portable Document Format) PDF  |  1982974481 in an XML format XML  formats.

NPI Number : 1982974481 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982974481",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SPRUILL",
    "FirstName": "KARIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": "I",
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8455 KINGTON WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CYPRESS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90630-2341",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-336-4151",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6850 LINCOLN AVE STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUENA PARK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90620-4179",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-699-1710",
    "PracticeLocationAddressFaxNumber": "714-699-1712",
    "EnumerationDate": "12/31/2011",
    "LastUpdateDate": "05/24/2019",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "14715",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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