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1043086267 NPI number — CLAIRE ROTH

NPI Number: 1043086267
Health Care Provider/Practitioner: CLAIRE ROTH

Information about “1043086267” NPI (CLAIRE ROTH) exists in 1043086267 in HTML format HTML  |  1043086267 in plain Text format TXT  |  1043086267 in PDF (Portable Document Format) PDF  |  1043086267 in an XML format XML  formats.

NPI Number : 1043086267 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043086267",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROTH",
    "FirstName": "CLAIRE",
    "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": "875 WOODLAND HILLS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VICTORIA",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55386-8233",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-217-0217",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7975 STONE CREEK DR STE 20",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHANHASSEN",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55317-4633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-746-8150",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/29/2023",
    "LastUpdateDate": "11/29/2023",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "7150",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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