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1134536238 NPI number — KRISTINA MARIE NEWCOMER D.O

NPI Number: 1134536238
Health Care Provider/Practitioner: KRISTINA MARIE NEWCOMER D.O

Information about “1134536238” NPI (KRISTINA MARIE NEWCOMER D.O) exists in 1134536238 in HTML format HTML  |  1134536238 in plain Text format TXT  |  1134536238 in PDF (Portable Document Format) PDF  |  1134536238 in an XML format XML  formats.

NPI Number : 1134536238 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134536238",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEWCOMER",
    "FirstName": "KRISTINA",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEWCOMER",
    "OtherFirstName": "KRISTINA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.O.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "496 SHELLEYS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ETTERS",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17319-9412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-938-6040",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "496 SHELLEYS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ETTERS",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17319-9412",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-938-6040",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/21/2014",
    "LastUpdateDate": "07/21/2014",
    "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": "207QA0505X",
        "TaxonomyName": "Adult Medicine Physician",
        "LicenseNumber": "OS008049",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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