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1033586680 NPI number — RICHARD FOREMAN

NPI Number: 1033586680
Health Care Provider/Practitioner: RICHARD FOREMAN

Information about “1033586680” NPI (RICHARD FOREMAN) exists in 1033586680 in HTML format HTML  |  1033586680 in plain Text format TXT  |  1033586680 in PDF (Portable Document Format) PDF  |  1033586680 in an XML format XML  formats.

NPI Number : 1033586680 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033586680",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOREMAN",
    "FirstName": "RICHARD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3170 KETTERING BLVD BLDG B2ND",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORAINE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45439-1924",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-991-3188",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2350 MIAMI VALLEY DR STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CENTERVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45459-4778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-276-8320",
    "PracticeLocationAddressFaxNumber": "937-276-8325",
    "EnumerationDate": "08/31/2015",
    "LastUpdateDate": "03/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.18027",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "COA18027NP",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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