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1407401474 NPI number — ABBY CHRISTINE VOPAL

NPI Number: 1407401474
Health Care Provider/Practitioner: ABBY CHRISTINE VOPAL

Information about “1407401474” NPI (ABBY CHRISTINE VOPAL) exists in 1407401474 in HTML format HTML  |  1407401474 in plain Text format TXT  |  1407401474 in PDF (Portable Document Format) PDF  |  1407401474 in an XML format XML  formats.

NPI Number : 1407401474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407401474",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VOPAL",
    "FirstName": "ABBY",
    "MiddleName": "CHRISTINE",
    "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": "92 CAMPUS DR STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCARBOROUGH",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04074-7229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-797-5753",
    "MailingAddressFaxNumber": "207-797-9571",
    "FirstLinePracticeLocationAddress": "92 CAMPUS DR STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCARBOROUGH",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04074-7229",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-797-5753",
    "PracticeLocationAddressFaxNumber": "207-797-9571",
    "EnumerationDate": "08/07/2019",
    "LastUpdateDate": "10/07/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "CNP191208",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WR0006X",
          "TaxonomyName": "Registered Nurse First Assistant",
          "LicenseNumber": "RN63885",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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