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1720187107 NPI number — LISA RENEE BEHRINGER AUD

NPI Number: 1720187107
Health Care Provider/Practitioner: LISA RENEE BEHRINGER AUD

Information about “1720187107” NPI (LISA RENEE BEHRINGER AUD) exists in 1720187107 in HTML format HTML  |  1720187107 in plain Text format TXT  |  1720187107 in PDF (Portable Document Format) PDF  |  1720187107 in an XML format XML  formats.

NPI Number : 1720187107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720187107",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEHRINGER",
    "FirstName": "LISA",
    "MiddleName": "RENEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AUD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BEHRINGER",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "135 W. DARES BEACH RD FREEDOM HEARING CENTER",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "PRINCE FREDERICK",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20678",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-295-7100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7247 HANOVER PARKWAY SUITE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENBELT",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20770",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-295-7100",
    "PracticeLocationAddressFaxNumber": "443-295-7555",
    "EnumerationDate": "09/21/2006",
    "LastUpdateDate": "10/01/2024",
    "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": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "00721",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "00721",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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