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1093832040 NPI number — JULIE ROSE BERNSTEIN ATC

NPI Number: 1093832040
Health Care Provider/Practitioner: JULIE ROSE BERNSTEIN ATC

Information about “1093832040” NPI (JULIE ROSE BERNSTEIN ATC) exists in 1093832040 in HTML format HTML  |  1093832040 in plain Text format TXT  |  1093832040 in PDF (Portable Document Format) PDF  |  1093832040 in an XML format XML  formats.

NPI Number : 1093832040 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093832040",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BERNSTEIN",
    "FirstName": "JULIE",
    "MiddleName": "ROSE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HANNUM",
    "OtherFirstName": "JULIE",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "ATC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "245 SUNNYRIDGE AVE",
    "SecondLineMailingAddress": "UNIT 34",
    "MailingAddressCityName": "FAIRFIELD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06824-4604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-256-7507",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 BEACHSIDE AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENS FARMS",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06838-0998",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-256-7507",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "000203",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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