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1396311932 NPI number — MARYBETH BLOOD

NPI Number: 1396311932
Health Care Provider/Practitioner: MARYBETH BLOOD

Information about “1396311932” NPI (MARYBETH BLOOD) exists in 1396311932 in HTML format HTML  |  1396311932 in plain Text format TXT  |  1396311932 in PDF (Portable Document Format) PDF  |  1396311932 in an XML format XML  formats.

NPI Number : 1396311932 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396311932",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLOOD",
    "FirstName": "MARYBETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "63 E SHORE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07834-2026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "862-242-9412",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "111 STATE ROUTE 35",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLIFFWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07721-1512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-727-2555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/03/2021",
    "LastUpdateDate": "04/03/2023",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "26NJ01123100",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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