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1760630800 NPI number — RUDELLE A TOMAN D.C.

NPI Number: 1760630800
Health Care Provider/Practitioner: RUDELLE A TOMAN D.C.

Information about “1760630800” NPI (RUDELLE A TOMAN D.C.) exists in 1760630800 in HTML format HTML  |  1760630800 in plain Text format TXT  |  1760630800 in PDF (Portable Document Format) PDF  |  1760630800 in an XML format XML  formats.

NPI Number : 1760630800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760630800",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TOMAN",
    "FirstName": "RUDELLE",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GILLINGWATORS",
    "OtherFirstName": "RUDELLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 11056",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "83002-1056",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-733-7765",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "242 E. BROADWAY AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "83001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-733-7765",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2008",
    "LastUpdateDate": "01/03/2024",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "591",
        "LicenseNumberStateCode": "WY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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