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1255446894 NPI number — CHARLOTTE MARIE AGNONE MD FACS

NPI Number: 1255446894
Health Care Provider/Practitioner: CHARLOTTE MARIE AGNONE MD FACS

Information about “1255446894” NPI (CHARLOTTE MARIE AGNONE MD FACS) exists in 1255446894 in HTML format HTML  |  1255446894 in plain Text format TXT  |  1255446894 in PDF (Portable Document Format) PDF  |  1255446894 in an XML format XML  formats.

NPI Number : 1255446894 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255446894",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AGNONE",
    "FirstName": "CHARLOTTE",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD FACS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3303 WOLF RIDGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DUBLIN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43017-2995",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-499-1863",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3303 WOLF RIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DUBLIN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43017-2995",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-499-1863",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2006",
    "LastUpdateDate": "06/27/2025",
    "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": "202D00000X",
        "TaxonomyName": "Integrative Medicine Physician",
        "LicenseNumber": "35.062148",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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