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1811858251 NPI number — LUCIENNE DJOUBA BONDIMA

NPI Number: 1811858251
Health Care Provider/Practitioner: LUCIENNE DJOUBA BONDIMA

Information about “1811858251” NPI (LUCIENNE DJOUBA BONDIMA) exists in 1811858251 in HTML format HTML  |  1811858251 in plain Text format TXT  |  1811858251 in PDF (Portable Document Format) PDF  |  1811858251 in an XML format XML  formats.

NPI Number : 1811858251 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811858251",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BONDIMA",
    "FirstName": "LUCIENNE",
    "MiddleName": "DJOUBA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DJOUBA NKOLE",
    "OtherFirstName": "LUCIENNE",
    "OtherMiddleName": "KRAEMER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4909 OLD COURT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANDALLSTOWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21133-4628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-278-3227",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4909 OLD COURT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANDALLSTOWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21133-4628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-278-3227",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/24/2025",
    "LastUpdateDate": "11/24/2025",
    "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": "163WR0400X",
        "TaxonomyName": "Rehabilitation Registered Nurse",
        "LicenseNumber": "R214366",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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