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1649286196 NPI number — NANNETTE LORRAINE RICKENBACH DMD

NPI Number: 1649286196
Health Care Provider/Practitioner: NANNETTE LORRAINE RICKENBACH DMD

Information about “1649286196” NPI (NANNETTE LORRAINE RICKENBACH DMD) exists in 1649286196 in HTML format HTML  |  1649286196 in plain Text format TXT  |  1649286196 in PDF (Portable Document Format) PDF  |  1649286196 in an XML format XML  formats.

NPI Number : 1649286196 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649286196",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICKENBACH",
    "FirstName": "NANNETTE",
    "MiddleName": "LORRAINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "HUMACOA MEDICAL PLAZA",
    "SecondLineMailingAddress": "53 CALLE FONT MARTELO E SUITE 201",
    "MailingAddressCityName": "HUMACAO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00791-3634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-852-6976",
    "MailingAddressFaxNumber": "787-852-6976",
    "FirstLinePracticeLocationAddress": "HUMACAO MEDICAL PLAZA SUITE 201",
    "SecondLinePracticeLocationAddress": "CALLA FONT MARTELO #53",
    "PracticeLocationAddressCityName": "HUMACAO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00791-3634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-852-6976",
    "PracticeLocationAddressFaxNumber": "787-852-6976",
    "EnumerationDate": "08/01/2006",
    "LastUpdateDate": "11/20/2023",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "2455",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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