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1558536177 NPI number — RENEE LAND FULCHER DVM

NPI Number: 1558536177
Health Care Provider/Practitioner: RENEE LAND FULCHER DVM

Information about “1558536177” NPI (RENEE LAND FULCHER DVM) exists in 1558536177 in HTML format HTML  |  1558536177 in plain Text format TXT  |  1558536177 in PDF (Portable Document Format) PDF  |  1558536177 in an XML format XML  formats.

NPI Number : 1558536177 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558536177",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FULCHER",
    "FirstName": "RENEE",
    "MiddleName": "LAND",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DVM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3700 ROUTE 9",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEHOLD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07728-8590",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-462-0572",
    "MailingAddressFaxNumber": "732-308-9598",
    "FirstLinePracticeLocationAddress": "3700 ROUTE 9",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FREEHOLD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07728-8590",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-462-0572",
    "PracticeLocationAddressFaxNumber": "732-308-9598",
    "EnumerationDate": "04/24/2008",
    "LastUpdateDate": "04/24/2008",
    "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": "174M00000X",
        "TaxonomyName": "Veterinarian",
        "LicenseNumber": "29VI00524100",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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