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1326108358 NPI number — DANA ANNE GAMBLIN DMD MSD

NPI Number: 1326108358
Health Care Provider/Practitioner: DANA ANNE GAMBLIN DMD MSD

Information about “1326108358” NPI (DANA ANNE GAMBLIN DMD MSD) exists in 1326108358 in HTML format HTML  |  1326108358 in plain Text format TXT  |  1326108358 in PDF (Portable Document Format) PDF  |  1326108358 in an XML format XML  formats.

NPI Number : 1326108358 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326108358",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAMBLIN",
    "FirstName": "DANA",
    "MiddleName": "ANNE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD MSD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1815 61ST AVENUE",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "GREELEY",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1815 61ST AVE.",
    "SecondLinePracticeLocationAddress": "STE. 101",
    "PracticeLocationAddressCityName": "GREELEY",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80634-7995",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-353-3747",
    "PracticeLocationAddressFaxNumber": "970-353-2684",
    "EnumerationDate": "12/11/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": "8884",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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