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1528303005 NPI number — BONNIE BOSWELL BOONE RN, IBCLC, RLC

NPI Number: 1528303005
Health Care Provider/Practitioner: BONNIE BOSWELL BOONE RN, IBCLC, RLC

Information about “1528303005” NPI (BONNIE BOSWELL BOONE RN, IBCLC, RLC) exists in 1528303005 in HTML format HTML  |  1528303005 in plain Text format TXT  |  1528303005 in PDF (Portable Document Format) PDF  |  1528303005 in an XML format XML  formats.

NPI Number : 1528303005 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528303005",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOONE",
    "FirstName": "BONNIE",
    "MiddleName": "BOSWELL",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "RN, IBCLC, RLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "120 S LAKE EMORY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INMAN",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29349-7257",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-472-4692",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1700 SKYLYN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPARTANBURG",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29307-1041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-573-5000",
    "PracticeLocationAddressFaxNumber": "864-573-3399",
    "EnumerationDate": "12/10/2012",
    "LastUpdateDate": "12/10/2012",
    "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": "174N00000X",
        "TaxonomyName": "Lactation Consultant (Non-RN)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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