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1619293974 NPI number — KARA L MINNOCK NP

NPI Number: 1619293974
Health Care Provider/Practitioner: KARA L MINNOCK NP

Information about “1619293974” NPI (KARA L MINNOCK NP) exists in 1619293974 in HTML format HTML  |  1619293974 in plain Text format TXT  |  1619293974 in PDF (Portable Document Format) PDF  |  1619293974 in an XML format XML  formats.

NPI Number : 1619293974 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619293974",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MINNOCK",
    "FirstName": "KARA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORAN",
    "OtherFirstName": "KARA",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "874 PURCHASE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW BEDFORD",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02740-6232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-992-6553",
    "MailingAddressFaxNumber": "508-990-7558",
    "FirstLinePracticeLocationAddress": "1 DONALD'S WAY STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST BRIDGEWATER",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02333-1464",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-941-7100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/12/2010",
    "LastUpdateDate": "04/09/2024",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "RN280895",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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