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1770697179 NPI number — LYNN M CARNAROLI IV DC

NPI Number: 1770697179
Health Care Provider/Practitioner: LYNN M CARNAROLI IV DC

Information about “1770697179” NPI (LYNN M CARNAROLI IV DC) exists in 1770697179 in HTML format HTML  |  1770697179 in plain Text format TXT  |  1770697179 in PDF (Portable Document Format) PDF  |  1770697179 in an XML format XML  formats.

NPI Number : 1770697179 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770697179",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARNAROLI",
    "FirstName": "LYNN",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": "IV",
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CONNAUGHTY",
    "OtherFirstName": "LYNN",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "85 SACHEM STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORWICH",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-889-5812",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "85 SACHEM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORWICH",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06360-4201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-889-5812",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/19/2006",
    "LastUpdateDate": "07/09/2007",
    "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": "000586",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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