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1578963070 NPI number — DOTTIE RENE BRINGLE

NPI Number: 1578963070
Health Care Provider/Practitioner: DOTTIE RENE BRINGLE

Information about “1578963070” NPI (DOTTIE RENE BRINGLE) exists in 1578963070 in HTML format HTML  |  1578963070 in plain Text format TXT  |  1578963070 in PDF (Portable Document Format) PDF  |  1578963070 in an XML format XML  formats.

NPI Number : 1578963070 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578963070",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRINGLE",
    "FirstName": "DOTTIE",
    "MiddleName": "RENE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRINGLE",
    "OtherFirstName": "DOTTIE",
    "OtherMiddleName": "RENE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP-C",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "15586 ACORN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DIAMOND",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64840-6148",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-825-1879",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "198 FOUR STATES DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GALENA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66739-4304",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-783-2356",
    "PracticeLocationAddressFaxNumber": "620-783-2395",
    "EnumerationDate": "09/03/2014",
    "LastUpdateDate": "09/03/2014",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "2014029919",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "53-76437-091",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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