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1942885769 NPI number — ROBERT MARIO DIBARTOLOMEO

NPI Number: 1942885769
Health Care Provider/Practitioner: ROBERT MARIO DIBARTOLOMEO

Information about “1942885769” NPI (ROBERT MARIO DIBARTOLOMEO) exists in 1942885769 in HTML format HTML  |  1942885769 in plain Text format TXT  |  1942885769 in PDF (Portable Document Format) PDF  |  1942885769 in an XML format XML  formats.

NPI Number : 1942885769 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942885769",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIBARTOLOMEO",
    "FirstName": "ROBERT",
    "MiddleName": "MARIO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "320 IVY ROCK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAVERTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19083-2721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-844-5242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4601 LOCUST LN STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17109-4445",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-526-2111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/12/2021",
    "LastUpdateDate": "03/12/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225A00000X",
        "TaxonomyName": "Music Therapist",
        "LicenseNumber": "14962",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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