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1639050925 NPI number — COLUMBA ROBERT LONIELLO MA

NPI Number: 1639050925
Health Care Provider/Practitioner: COLUMBA ROBERT LONIELLO MA

Information about “1639050925” NPI (COLUMBA ROBERT LONIELLO MA) exists in 1639050925 in HTML format HTML  |  1639050925 in plain Text format TXT  |  1639050925 in PDF (Portable Document Format) PDF  |  1639050925 in an XML format XML  formats.

NPI Number : 1639050925 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639050925",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LONIELLO",
    "FirstName": "COLUMBA",
    "MiddleName": "ROBERT",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LONIELLO",
    "OtherFirstName": "COLE",
    "OtherMiddleName": "ROBERT",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1100 E MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REEDSBURG",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53959-1420",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-524-1228",
    "MailingAddressFaxNumber": "608-524-1706",
    "FirstLinePracticeLocationAddress": "1100 E MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REEDSBURG",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53959-1420",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-524-1228",
    "PracticeLocationAddressFaxNumber": "608-524-1706",
    "EnumerationDate": "09/11/2025",
    "LastUpdateDate": "10/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183700000X",
        "TaxonomyName": "Pharmacy Technician",
        "LicenseNumber": "238433-41",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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