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1619274412 NPI number — ALISON CLEARY RAUCH RD CDN

NPI Number: 1619274412
Health Care Provider/Practitioner: ALISON CLEARY RAUCH RD CDN

Information about “1619274412” NPI (ALISON CLEARY RAUCH RD CDN) exists in 1619274412 in HTML format HTML  |  1619274412 in plain Text format TXT  |  1619274412 in PDF (Portable Document Format) PDF  |  1619274412 in an XML format XML  formats.

NPI Number : 1619274412 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619274412",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAUCH",
    "FirstName": "ALISON",
    "MiddleName": "CLEARY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RD CDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KRESSER",
    "OtherFirstName": "ALISON",
    "OtherMiddleName": "CLEARY",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "30 OAKBROOK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST SENECA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14224-4437",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-864-8545",
    "MailingAddressFaxNumber": "716-674-2974",
    "FirstLinePracticeLocationAddress": "30 OAKBROOK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST SENECA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14224-4437",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-864-8545",
    "PracticeLocationAddressFaxNumber": "716-674-2974",
    "EnumerationDate": "02/15/2011",
    "LastUpdateDate": "02/15/2011",
    "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": "133N00000X",
          "TaxonomyName": "Nutritionist",
          "LicenseNumber": "006373",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "876147",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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