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1578648606 NPI number — RENIKA N MCLEOD-LABISSIERE MD

NPI Number: 1578648606
Health Care Provider/Practitioner: RENIKA N MCLEOD-LABISSIERE MD

Information about “1578648606” NPI (RENIKA N MCLEOD-LABISSIERE MD) exists in 1578648606 in HTML format HTML  |  1578648606 in plain Text format TXT  |  1578648606 in PDF (Portable Document Format) PDF  |  1578648606 in an XML format XML  formats.

NPI Number : 1578648606 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578648606",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCLEOD-LABISSIERE",
    "FirstName": "RENIKA",
    "MiddleName": "N",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "102 W REDDING RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANBURY",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06810-8345",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-743-1810",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "115 WATERBURY ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PROSPECT",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-758-5660",
    "PracticeLocationAddressFaxNumber": "203-758-3161",
    "EnumerationDate": "10/26/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "230651",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "045025",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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