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1679623243 NPI number — INNA E DUNKER DDS

NPI Number: 1679623243
Health Care Provider/Practitioner: INNA E DUNKER DDS

Information about “1679623243” NPI (INNA E DUNKER DDS) exists in 1679623243 in HTML format HTML  |  1679623243 in plain Text format TXT  |  1679623243 in PDF (Portable Document Format) PDF  |  1679623243 in an XML format XML  formats.

NPI Number : 1679623243 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679623243",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUNKER",
    "FirstName": "INNA",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ERMOLAEVA",
    "OtherFirstName": "INNA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2121 S ONEIDA ST",
    "SecondLineMailingAddress": "S-321",
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80224-2549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-796-8767",
    "MailingAddressFaxNumber": "303-694-6238",
    "FirstLinePracticeLocationAddress": "2121 S ONEIDA ST",
    "SecondLinePracticeLocationAddress": "S-321",
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80224-2549",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-796-8767",
    "PracticeLocationAddressFaxNumber": "303-694-6238",
    "EnumerationDate": "01/12/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "7337",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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