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1710464037 NPI number — CRISTINA LYNN RESCZENSKI DO

NPI Number: 1710464037
Health Care Provider/Practitioner: CRISTINA LYNN RESCZENSKI DO

Information about “1710464037” NPI (CRISTINA LYNN RESCZENSKI DO) exists in 1710464037 in HTML format HTML  |  1710464037 in plain Text format TXT  |  1710464037 in PDF (Portable Document Format) PDF  |  1710464037 in an XML format XML  formats.

NPI Number : 1710464037 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710464037",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RESCZENSKI",
    "FirstName": "CRISTINA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LERNER",
    "OtherFirstName": "CRISTINA",
    "OtherMiddleName": "RESCZENSKI",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2315 W JACKSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32505-7552",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-436-4630",
    "MailingAddressFaxNumber": "850-436-2095",
    "FirstLinePracticeLocationAddress": "2315 W JACKSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32505-7552",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-436-4630",
    "PracticeLocationAddressFaxNumber": "850-436-2095",
    "EnumerationDate": "07/20/2018",
    "LastUpdateDate": "10/01/2021",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "OS18167",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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