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1720845456 NPI number — LINDA ANN ROSEMANN MS, CCC-SLP

NPI Number: 1720845456
Health Care Provider/Practitioner: LINDA ANN ROSEMANN MS, CCC-SLP

Information about “1720845456” NPI (LINDA ANN ROSEMANN MS, CCC-SLP) exists in 1720845456 in HTML format HTML  |  1720845456 in plain Text format TXT  |  1720845456 in PDF (Portable Document Format) PDF  |  1720845456 in an XML format XML  formats.

NPI Number : 1720845456 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720845456",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSEMANN",
    "FirstName": "LINDA",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROSEMANN",
    "OtherFirstName": "LINDA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, CCC, SLP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5 STANWICH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWICH",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06830-4840",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-486-8696",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5 STANWICH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENWICH",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06830-4840",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-486-8696",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/29/2024",
    "LastUpdateDate": "02/29/2024",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "006741",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "032640-01",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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