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1801022488 NPI number — MARTA E HEABERLIN M.D.

NPI Number: 1801022488
Health Care Provider/Practitioner: MARTA E HEABERLIN M.D.

Information about “1801022488” NPI (MARTA E HEABERLIN M.D.) exists in 1801022488 in HTML format HTML  |  1801022488 in plain Text format TXT  |  1801022488 in PDF (Portable Document Format) PDF  |  1801022488 in an XML format XML  formats.

NPI Number : 1801022488 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801022488",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEABERLIN",
    "FirstName": "MARTA",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GONZALEZ",
    "OtherFirstName": "MARTA",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "734 N 3RD ST STE 115",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEESBURG",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34748-5287",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-365-2583",
    "MailingAddressFaxNumber": "352-728-6749",
    "FirstLinePracticeLocationAddress": "1400 N US HIGHWAY 441 STE 510",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THE VILLAGES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32159-8983",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-787-5858",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2009",
    "LastUpdateDate": "01/14/2020",
    "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": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "ME117347",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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