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1992158760 NPI number — ELIZABETH VAN LITH

NPI Number: 1992158760
Health Care Provider/Practitioner: ELIZABETH VAN LITH

Information about “1992158760” NPI (ELIZABETH VAN LITH) exists in 1992158760 in HTML format HTML  |  1992158760 in plain Text format TXT  |  1992158760 in PDF (Portable Document Format) PDF  |  1992158760 in an XML format XML  formats.

NPI Number : 1992158760 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992158760",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAN LITH",
    "FirstName": "ELIZABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PRICE",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "15136 481ST AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILBANK",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57252-6025",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "803 E MILBANK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILBANK",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57252-1413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-432-4587",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/18/2016",
    "LastUpdateDate": "12/15/2017",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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