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1699375360 NPI number — ERIN ROSA MOORE-PRESTON RTR

NPI Number: 1699375360
Health Care Provider/Practitioner: ERIN ROSA MOORE-PRESTON RTR

Information about “1699375360” NPI (ERIN ROSA MOORE-PRESTON RTR) exists in 1699375360 in HTML format HTML  |  1699375360 in plain Text format TXT  |  1699375360 in PDF (Portable Document Format) PDF  |  1699375360 in an XML format XML  formats.

NPI Number : 1699375360 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699375360",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOORE-PRESTON",
    "FirstName": "ERIN",
    "MiddleName": "ROSA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOORE",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "ROSA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RTR",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "US ARMY MEDICAL ACTIVITY-BAVARIA",
    "SecondLineMailingAddress": "UNIT 28038",
    "MailingAddressCityName": "APO",
    "MailingAddressStateName": "AE",
    "MailingAddressPostalCode": "09112",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "US ARMY MEDICAL ACTIVITY- BAVARIA",
    "SecondLinePracticeLocationAddress": "UNIT 28038",
    "PracticeLocationAddressCityName": "APO",
    "PracticeLocationAddressStateName": "AE",
    "PracticeLocationAddressPostalCode": "09112",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "637-194-6439",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/30/2020",
    "LastUpdateDate": "10/30/2020",
    "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": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "463970",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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