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1437431962 NPI number — DEANNA E BLOSSOM RPH

NPI Number: 1437431962
Health Care Provider/Practitioner: DEANNA E BLOSSOM RPH

Information about “1437431962” NPI (DEANNA E BLOSSOM RPH) exists in 1437431962 in HTML format HTML  |  1437431962 in plain Text format TXT  |  1437431962 in PDF (Portable Document Format) PDF  |  1437431962 in an XML format XML  formats.

NPI Number : 1437431962 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437431962",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLOSSOM",
    "FirstName": "DEANNA",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "752 S FISCHER CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEBASTIAN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32958-4619",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-589-0871",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9595 N US HIGHWAY 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEBASTIAN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32958-6301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-589-5177",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2011",
    "LastUpdateDate": "09/11/2011",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PH18625",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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