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1386148773 NPI number — GINA LYNN CARROLL RANIERI DO

NPI Number: 1386148773
Health Care Provider/Practitioner: GINA LYNN CARROLL RANIERI DO

Information about “1386148773” NPI (GINA LYNN CARROLL RANIERI DO) exists in 1386148773 in HTML format HTML  |  1386148773 in plain Text format TXT  |  1386148773 in PDF (Portable Document Format) PDF  |  1386148773 in an XML format XML  formats.

NPI Number : 1386148773 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386148773",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RANIERI",
    "FirstName": "GINA",
    "MiddleName": "LYNN CARROLL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "800 BUNN DR STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRINCETON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08540-1968",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-430-1900",
    "MailingAddressFaxNumber": "609-430-1901",
    "FirstLinePracticeLocationAddress": "800 BUNN DR STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRINCETON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08540-1968",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-430-1900",
    "PracticeLocationAddressFaxNumber": "609-430-1901",
    "EnumerationDate": "03/20/2018",
    "LastUpdateDate": "02/17/2025",
    "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": "207VF0040X",
        "TaxonomyName": "Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician",
        "LicenseNumber": "25MB12280200",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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