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1730628694 NPI number — DOREEN TONER NP

NPI Number: 1730628694
Health Care Provider/Practitioner: DOREEN TONER NP

Information about “1730628694” NPI (DOREEN TONER NP) exists in 1730628694 in HTML format HTML  |  1730628694 in plain Text format TXT  |  1730628694 in PDF (Portable Document Format) PDF  |  1730628694 in an XML format XML  formats.

NPI Number : 1730628694 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730628694",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TONER",
    "FirstName": "DOREEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5555 GLENWOOD HILLS PKWY SE STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND RAPIDS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49512-2091",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-940-2662",
    "MailingAddressFaxNumber": "616-242-2512",
    "FirstLinePracticeLocationAddress": "4121 SHRESTHA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAY CITY",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48706-2171",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-686-6900",
    "PracticeLocationAddressFaxNumber": "989-686-6911",
    "EnumerationDate": "02/13/2017",
    "LastUpdateDate": "05/04/2021",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "4704287732",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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