NPI Code Detail JSON Logo

1568701548 NPI number — PAULA RENE'E BRUNNER

NPI Number: 1568701548
Health Care Provider/Practitioner: PAULA RENE'E BRUNNER

Information about “1568701548” NPI (PAULA RENE'E BRUNNER) exists in 1568701548 in HTML format HTML  |  1568701548 in plain Text format TXT  |  1568701548 in PDF (Portable Document Format) PDF  |  1568701548 in an XML format XML  formats.

NPI Number : 1568701548 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568701548",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRUNNER",
    "FirstName": "PAULA",
    "MiddleName": "RENE'E",
    "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": "90 N 31ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73601-9116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-323-6021",
    "MailingAddressFaxNumber": "580-323-0828",
    "FirstLinePracticeLocationAddress": "90 N 31ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73601-9116",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-323-6021",
    "PracticeLocationAddressFaxNumber": "580-323-0828",
    "EnumerationDate": "02/11/2013",
    "LastUpdateDate": "02/11/2013",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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