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1245514728 NPI number — MICHELE OBRIEN RPH

NPI Number: 1245514728
Health Care Provider/Practitioner: MICHELE OBRIEN RPH

Information about “1245514728” NPI (MICHELE OBRIEN RPH) exists in 1245514728 in HTML format HTML  |  1245514728 in plain Text format TXT  |  1245514728 in PDF (Portable Document Format) PDF  |  1245514728 in an XML format XML  formats.

NPI Number : 1245514728 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245514728",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OBRIEN",
    "FirstName": "MICHELE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 174",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMPTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12837-0174",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-282-9721",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10 WOODSTOCK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RUTLAND",
    "PracticeLocationAddressStateName": "VT",
    "PracticeLocationAddressPostalCode": "05701-3514",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "802-773-6980",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2011",
    "LastUpdateDate": "10/03/2011",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "039655",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "0330003768",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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