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1790949626 NPI number — CAROLINE JANE VON BORMANN MB, CHB

NPI Number: 1790949626
Health Care Provider/Practitioner: CAROLINE JANE VON BORMANN MB, CHB

Information about “1790949626” NPI (CAROLINE JANE VON BORMANN MB, CHB) exists in 1790949626 in HTML format HTML  |  1790949626 in plain Text format TXT  |  1790949626 in PDF (Portable Document Format) PDF  |  1790949626 in an XML format XML  formats.

NPI Number : 1790949626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790949626",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VON BORMANN",
    "FirstName": "CAROLINE",
    "MiddleName": "JANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MB, CHB",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAVIDGE-PITTS",
    "OtherFirstName": "CAROLINE",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MB, CHB",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 1ST ST SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55905-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-284-2511",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 1ST ST SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55905-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "507-284-2511",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/10/2008",
    "LastUpdateDate": "08/13/2020",
    "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": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": "54395",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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