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1710254768 NPI number — CAROLINE ELIZABETH BOND OTR, MSC

NPI Number: 1710254768
Health Care Provider/Practitioner: CAROLINE ELIZABETH BOND OTR, MSC

Information about “1710254768” NPI (CAROLINE ELIZABETH BOND OTR, MSC) exists in 1710254768 in HTML format HTML  |  1710254768 in plain Text format TXT  |  1710254768 in PDF (Portable Document Format) PDF  |  1710254768 in an XML format XML  formats.

NPI Number : 1710254768 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710254768",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOND",
    "FirstName": "CAROLINE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "OTR, MSC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1580 SAWGRASS CORPORATE PKWY",
    "SecondLineMailingAddress": "MEDPRO HEALTHCARE STAFFING, SUITE 100",
    "MailingAddressCityName": "SUNRISE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33323-2859",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-802-3140",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1580 SAWGRASS CORPORATE PKWY",
    "SecondLinePracticeLocationAddress": "MEDPRO HEALTHCARE STAFFING, SUITE 100",
    "PracticeLocationAddressCityName": "SUNRISE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33323-2859",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-332-4449",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2011",
    "LastUpdateDate": "11/18/2011",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "284179",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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