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1417106287 NPI number — JILL MICHELLE BELLINO LPN

NPI Number: 1417106287
Health Care Provider/Practitioner: JILL MICHELLE BELLINO LPN

Information about “1417106287” NPI (JILL MICHELLE BELLINO LPN) exists in 1417106287 in HTML format HTML  |  1417106287 in plain Text format TXT  |  1417106287 in PDF (Portable Document Format) PDF  |  1417106287 in an XML format XML  formats.

NPI Number : 1417106287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417106287",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BELLINO",
    "FirstName": "JILL",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 174",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOSSYROCK",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98564-0174",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-720-8015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 HOPE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOSSYROCK",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98564",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-720-8015",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/16/2008",
    "LastUpdateDate": "01/11/2019",
    "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": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "10-268322",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "LP00057298",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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