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1518745769 NPI number — NINA M BOZEMAN

NPI Number: 1518745769
Health Care Provider/Practitioner: NINA M BOZEMAN

Information about “1518745769” NPI (NINA M BOZEMAN) exists in 1518745769 in HTML format HTML  |  1518745769 in plain Text format TXT  |  1518745769 in PDF (Portable Document Format) PDF  |  1518745769 in an XML format XML  formats.

NPI Number : 1518745769 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518745769",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOZEMAN",
    "FirstName": "NINA",
    "MiddleName": "M",
    "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": "4701 CHARLES PL APT 2022",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75093-7494",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-399-1800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2120 N SAINT AUGUSTINE DR STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75227-8041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-767-9430",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2023",
    "LastUpdateDate": "09/19/2023",
    "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": "246RP1900X",
        "TaxonomyName": "Phlebotomy Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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