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1952154106 NPI number — BONCILE ROBINSON-YOUNG

NPI Number: 1952154106
Health Care Provider/Practitioner: BONCILE ROBINSON-YOUNG

Information about “1952154106” NPI (BONCILE ROBINSON-YOUNG) exists in 1952154106 in HTML format HTML  |  1952154106 in plain Text format TXT  |  1952154106 in PDF (Portable Document Format) PDF  |  1952154106 in an XML format XML  formats.

NPI Number : 1952154106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952154106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBINSON-YOUNG",
    "FirstName": "BONCILE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROBINSON",
    "OtherFirstName": "BONCILE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1975 W GRAND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48238-3458",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-484-7244",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15560 JOY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48228-8200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-467-7427",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2024",
    "LastUpdateDate": "04/09/2024",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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