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1669566691 NPI number — LISA RIDER MD

NPI Number: 1669566691
Health Care Provider/Practitioner: LISA RIDER MD

Information about “1669566691” NPI (LISA RIDER MD) exists in 1669566691 in HTML format HTML  |  1669566691 in plain Text format TXT  |  1669566691 in PDF (Portable Document Format) PDF  |  1669566691 in an XML format XML  formats.

NPI Number : 1669566691 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669566691",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIDER",
    "FirstName": "LISA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "NIEHS NIH",
    "SecondLineMailingAddress": "CRC 4-2352, MSC 1301, 10 CENTER DRIVE",
    "MailingAddressCityName": "BETHESDA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20892-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-451-6272",
    "MailingAddressFaxNumber": "301-451-5588",
    "FirstLinePracticeLocationAddress": "CLINICAL RESEARCH CTR",
    "SecondLinePracticeLocationAddress": "10 CENTER DRIVE",
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20892-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-496-1211",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2006",
    "LastUpdateDate": "04/03/2009",
    "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": "2080P0216X",
          "TaxonomyName": "Pediatric Rheumatology Physician",
          "LicenseNumber": "MD035811",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080P0216X",
          "TaxonomyName": "Pediatric Rheumatology Physician",
          "LicenseNumber": "D46950",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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