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1093944688 NPI number — CLAUDIA GUTMAN PATCH D.M.D

NPI Number: 1093944688
Health Care Provider/Practitioner: CLAUDIA GUTMAN PATCH D.M.D

Information about “1093944688” NPI (CLAUDIA GUTMAN PATCH D.M.D) exists in 1093944688 in HTML format HTML  |  1093944688 in plain Text format TXT  |  1093944688 in PDF (Portable Document Format) PDF  |  1093944688 in an XML format XML  formats.

NPI Number : 1093944688 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093944688",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATCH",
    "FirstName": "CLAUDIA",
    "MiddleName": "GUTMAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11 BRUNEL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOICEVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12412-5116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-833-1219",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "121 ROUTE 375",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODSTOCK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12498-1815",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-679-3706",
    "PracticeLocationAddressFaxNumber": "845-679-7594",
    "EnumerationDate": "07/05/2009",
    "LastUpdateDate": "08/05/2010",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "055016-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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