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1477571602 NPI number — LINDSAY CIOMBOR BRISLIN D.M.D.

NPI Number: 1477571602
Health Care Provider/Practitioner: LINDSAY CIOMBOR BRISLIN D.M.D.

Information about “1477571602” NPI (LINDSAY CIOMBOR BRISLIN D.M.D.) exists in 1477571602 in HTML format HTML  |  1477571602 in plain Text format TXT  |  1477571602 in PDF (Portable Document Format) PDF  |  1477571602 in an XML format XML  formats.

NPI Number : 1477571602 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477571602",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRISLIN",
    "FirstName": "LINDSAY",
    "MiddleName": "CIOMBOR",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "51 FRONT ST",
    "SecondLineMailingAddress": "B201",
    "MailingAddressCityName": "CUMBERLAND",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02864-4847",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-942-6544",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "536 CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAWTUCKET",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02861-1947",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-726-1772",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "DEN02935",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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