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1629874060 NPI number — RENEE LYNN AMORMINO RRT

NPI Number: 1629874060
Health Care Provider/Practitioner: RENEE LYNN AMORMINO RRT

Information about “1629874060” NPI (RENEE LYNN AMORMINO RRT) exists in 1629874060 in HTML format HTML  |  1629874060 in plain Text format TXT  |  1629874060 in PDF (Portable Document Format) PDF  |  1629874060 in an XML format XML  formats.

NPI Number : 1629874060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629874060",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMORMINO",
    "FirstName": "RENEE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RRT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MATHEWS",
    "OtherFirstName": "RENEE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RRT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1950 E WATTLES RD STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TROY",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48085-5099",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-238-8374",
    "MailingAddressFaxNumber": "248-243-8966",
    "FirstLinePracticeLocationAddress": "1950 E WATTLES RD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TROY",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48085-5099",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-238-8374",
    "PracticeLocationAddressFaxNumber": "248-243-8966",
    "EnumerationDate": "02/24/2025",
    "LastUpdateDate": "02/24/2025",
    "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": "2279G1100X",
        "TaxonomyName": "General Care Registered Respiratory Therapist",
        "LicenseNumber": "4401003633",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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