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1316060395 NPI number — VANESSA RENEE ADELMAN D.P.M.

NPI Number: 1316060395
Health Care Provider/Practitioner: VANESSA RENEE ADELMAN D.P.M.

Information about “1316060395” NPI (VANESSA RENEE ADELMAN D.P.M.) exists in 1316060395 in HTML format HTML  |  1316060395 in plain Text format TXT  |  1316060395 in PDF (Portable Document Format) PDF  |  1316060395 in an XML format XML  formats.

NPI Number : 1316060395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316060395",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADELMAN",
    "FirstName": "VANESSA",
    "MiddleName": "RENEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.P.M.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BODNAR",
    "OtherFirstName": "VANESSA",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANN ARBOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48105-9484",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5333 MCAULEY DR RM 4012",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YPSILANTI",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48197",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-572-1141",
    "PracticeLocationAddressFaxNumber": "734-572-1142",
    "EnumerationDate": "04/06/2007",
    "LastUpdateDate": "10/02/2018",
    "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": "213ES0103X",
        "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
        "LicenseNumber": "5901002204",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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