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1376517771 NPI number — MIRIAM BAR-ON MD

NPI Number: 1376517771
Health Care Provider/Practitioner: MIRIAM BAR-ON MD

Information about “1376517771” NPI (MIRIAM BAR-ON MD) exists in 1376517771 in HTML format HTML  |  1376517771 in plain Text format TXT  |  1376517771 in PDF (Portable Document Format) PDF  |  1376517771 in an XML format XML  formats.

NPI Number : 1376517771 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376517771",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAR-ON",
    "FirstName": "MIRIAM",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "101 E OLNEY AVE",
    "SecondLineMailingAddress": "STE 400",
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19120-2470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-456-1825",
    "MailingAddressFaxNumber": "215-456-5926",
    "FirstLinePracticeLocationAddress": "3006 S MARYLAND PKWY STE 315",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89109-6205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-992-6868",
    "PracticeLocationAddressFaxNumber": "702-992-6860",
    "EnumerationDate": "02/14/2006",
    "LastUpdateDate": "03/18/2020",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "12118",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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