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1093351371 NPI number — FARRAH CLARE COPPOLINO

NPI Number: 1093351371
Health Care Provider/Practitioner: FARRAH CLARE COPPOLINO

Information about “1093351371” NPI (FARRAH CLARE COPPOLINO) exists in 1093351371 in HTML format HTML  |  1093351371 in plain Text format TXT  |  1093351371 in PDF (Portable Document Format) PDF  |  1093351371 in an XML format XML  formats.

NPI Number : 1093351371 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093351371",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COPPOLINO",
    "FirstName": "FARRAH",
    "MiddleName": "CLARE",
    "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": "5 SMITHFIELD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BASKING RIDGE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07920-2777",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-907-6323",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "418 CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07090-2521",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-261-1110",
    "PracticeLocationAddressFaxNumber": "732-204-1636",
    "EnumerationDate": "11/21/2019",
    "LastUpdateDate": "10/09/2024",
    "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": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-24-76296",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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