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1073691622 NPI number — SHAUNA TERESA RANER PHARMD

NPI Number: 1073691622
Health Care Provider/Practitioner: SHAUNA TERESA RANER PHARMD

Information about “1073691622” NPI (SHAUNA TERESA RANER PHARMD) exists in 1073691622 in HTML format HTML  |  1073691622 in plain Text format TXT  |  1073691622 in PDF (Portable Document Format) PDF  |  1073691622 in an XML format XML  formats.

NPI Number : 1073691622 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073691622",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RANER",
    "FirstName": "SHAUNA",
    "MiddleName": "TERESA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HICKEY",
    "OtherFirstName": "SHAUNA",
    "OtherMiddleName": "TERESA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "655 LIBERTY WAY",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "NORTH LIBERTY",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52317-9154",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-823-0923",
    "MailingAddressFaxNumber": "563-324-3305",
    "FirstLinePracticeLocationAddress": "655 LIBERTY WAY",
    "SecondLinePracticeLocationAddress": "SUITE 3",
    "PracticeLocationAddressCityName": "NORTH LIBERTY",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52317-9154",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-823-0923",
    "PracticeLocationAddressFaxNumber": "563-324-3305",
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "06/04/2015",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "20453",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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