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1679677363 NPI number — LAUREN POMEROY BEACH RD

NPI Number: 1679677363
Health Care Provider/Practitioner: LAUREN POMEROY BEACH RD

Information about “1679677363” NPI (LAUREN POMEROY BEACH RD) exists in 1679677363 in HTML format HTML  |  1679677363 in plain Text format TXT  |  1679677363 in PDF (Portable Document Format) PDF  |  1679677363 in an XML format XML  formats.

NPI Number : 1679677363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679677363",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEACH",
    "FirstName": "LAUREN",
    "MiddleName": "POMEROY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "POMEROY",
    "OtherFirstName": "LAUREN",
    "OtherMiddleName": "EDDY",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "623 S MASON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRISONBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22801-3211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "235 CANTRELL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISONBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22801-3248",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-564-7044",
    "PracticeLocationAddressFaxNumber": "540-564-5639",
    "EnumerationDate": "09/12/2006",
    "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": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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