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1134460413 NPI number — VICTORIA R. THINNES N.P.

NPI Number: 1134460413
Health Care Provider/Practitioner: VICTORIA R. THINNES N.P.

Information about “1134460413” NPI (VICTORIA R. THINNES N.P.) exists in 1134460413 in HTML format HTML  |  1134460413 in plain Text format TXT  |  1134460413 in PDF (Portable Document Format) PDF  |  1134460413 in an XML format XML  formats.

NPI Number : 1134460413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134460413",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THINNES",
    "FirstName": "VICTORIA",
    "MiddleName": "R.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DOYLE",
    "OtherFirstName": "VICTORIA",
    "OtherMiddleName": "R.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "N.P.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "181 JEFFERSON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVER EDGE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07661-2106",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-310-5069",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "127 W 25TH ST FL 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10001-7207",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-533-4040",
    "PracticeLocationAddressFaxNumber": "212-533-4141",
    "EnumerationDate": "03/11/2013",
    "LastUpdateDate": "10/07/2019",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "629962",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "401637",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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