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1821489923 NPI number — KIMBERLY DAWN GUM PHARM.D.

NPI Number: 1821489923
Health Care Provider/Practitioner: KIMBERLY DAWN GUM PHARM.D.

Information about “1821489923” NPI (KIMBERLY DAWN GUM PHARM.D.) exists in 1821489923 in HTML format HTML  |  1821489923 in plain Text format TXT  |  1821489923 in PDF (Portable Document Format) PDF  |  1821489923 in an XML format XML  formats.

NPI Number : 1821489923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821489923",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUM",
    "FirstName": "KIMBERLY",
    "MiddleName": "DAWN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "64 MADDYS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELKVIEW",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25071-9684",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-935-4464",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "64 MADDYS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELKVIEW",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25071-9684",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-935-4464",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/10/2015",
    "LastUpdateDate": "02/10/2015",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RP0005971",
        "LicenseNumberStateCode": "WV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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