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1912720145 NPI number — MRS. KRISTEN IRIS BUNZE

NPI Number: 1912720145
Health Care Provider/Practitioner: MRS. KRISTEN IRIS BUNZE

Information about “1912720145” NPI (MRS. KRISTEN IRIS BUNZE) exists in 1912720145 in HTML format HTML  |  1912720145 in plain Text format TXT  |  1912720145 in PDF (Portable Document Format) PDF  |  1912720145 in an XML format XML  formats.

NPI Number : 1912720145 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912720145",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUNZE",
    "FirstName": "KRISTEN",
    "MiddleName": "IRIS",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KROENER",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": "IRIS",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "19 SCHOOL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE RONKONKOMA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11779-2209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-434-5583",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19 SCHOOL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE RONKONKOMA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11779-2209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-434-5583",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/06/2024",
    "LastUpdateDate": "11/06/2024",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "1220377",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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