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1356654511 NPI number — DANA SUZANNE FABIANI M.D.

NPI Number: 1356654511
Health Care Provider/Practitioner: DANA SUZANNE FABIANI M.D.

Information about “1356654511” NPI (DANA SUZANNE FABIANI M.D.) exists in 1356654511 in HTML format HTML  |  1356654511 in plain Text format TXT  |  1356654511 in PDF (Portable Document Format) PDF  |  1356654511 in an XML format XML  formats.

NPI Number : 1356654511 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356654511",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FABIANI",
    "FirstName": "DANA",
    "MiddleName": "SUZANNE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEFKOWITZ",
    "OtherFirstName": "DANA",
    "OtherMiddleName": "SUZANNE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5573 MARQUESAS CIR UNIT 9B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34233-3332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-463-3975",
    "MailingAddressFaxNumber": "941-922-4264",
    "FirstLinePracticeLocationAddress": "5573 MARQUESAS CIR UNIT 9B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34233-3332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-922-4264",
    "PracticeLocationAddressFaxNumber": "941-922-4265",
    "EnumerationDate": "07/16/2010",
    "LastUpdateDate": "01/29/2018",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "ME105776",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "ME 105776",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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