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1336343961 NPI number — LAURA L COLVIN MED

NPI Number: 1336343961
Health Care Provider/Practitioner: LAURA L COLVIN MED

Information about “1336343961” NPI (LAURA L COLVIN MED) exists in 1336343961 in HTML format HTML  |  1336343961 in plain Text format TXT  |  1336343961 in PDF (Portable Document Format) PDF  |  1336343961 in an XML format XML  formats.

NPI Number : 1336343961 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336343961",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLVIN",
    "FirstName": "LAURA",
    "MiddleName": "L",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MED",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 149",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANCOCAS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08073-0149",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-239-8300",
    "MailingAddressFaxNumber": "609-239-8333",
    "FirstLinePracticeLocationAddress": "300 SUNSET RD",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "BURLINGTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08016-3625",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-239-8300",
    "PracticeLocationAddressFaxNumber": "609-239-8333",
    "EnumerationDate": "06/14/2007",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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