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1497001929 NPI number — SHANA RAE DABROSKI RN

NPI Number: 1497001929
Health Care Provider/Practitioner: SHANA RAE DABROSKI RN

Information about “1497001929” NPI (SHANA RAE DABROSKI RN) exists in 1497001929 in HTML format HTML  |  1497001929 in plain Text format TXT  |  1497001929 in PDF (Portable Document Format) PDF  |  1497001929 in an XML format XML  formats.

NPI Number : 1497001929 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497001929",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DABROSKI",
    "FirstName": "SHANA",
    "MiddleName": "RAE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZAWACKI",
    "OtherFirstName": "SHANA",
    "OtherMiddleName": "RAE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1500 E COLLEGE WAY STE A-534",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT VERNON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98273-5637",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-540-4142",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "30 HUNTER LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMP HILL",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17011-2499",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-748-3243",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/02/2012",
    "LastUpdateDate": "01/20/2022",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "644500-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "60929733",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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