| NPI,EntityTypeCode,ReplacementNPI,EmployerIdentificationNumberEIN,ProviderOrganizationNameLegalBusinessName,ProviderLastNameLegalName,ProviderFirstName,ProviderMiddleName,ProviderNamePrefixText,ProviderNameSuffixText,ProviderCredentialText,ProviderOtherOrganizationName,ProviderOtherOrganizationNameTypeCode,ProviderOtherLastName,ProviderOtherFirstName,ProviderOtherMiddleName,ProviderOtherNamePrefixText,ProviderOtherNameSuffixText,ProviderOtherCredentialText,ProviderOtherLastNameTypeCode,ProviderFirstLineBusinessMailingAddress,ProviderSecondLineBusinessMailingAddress,ProviderBusinessMailingAddressCityName,ProviderBusinessMailingAddressStateName,ProviderBusinessMailingAddressPostalCode,ProviderBusinessMailingAddressCountryCodeIfoutsideUS,ProviderBusinessMailingAddressTelephoneNumber,ProviderBusinessMailingAddressFaxNumber,ProviderFirstLineBusinessPracticeLocationAddress,ProviderSecondLineBusinessPracticeLocationAddress,ProviderBusinessPracticeLocationAddressCityName,ProviderBusinessPracticeLocationAddressStateName,ProviderBusinessPracticeLocationAddressPostalCode,ProviderBusinessPracticeLocationAddressCountryCodeIfoutsideUS,ProviderBusinessPracticeLocationAddressTelephoneNumber,ProviderBusinessPracticeLocationAddressFaxNumber,ProviderEnumerationDate,LastUpdateDate,NPIDeactivationReasonCode,NPIDeactivationDate,NPIReactivationDate,ProviderGenderCode,AuthorizedOfficialLastName,AuthorizedOfficialFirstName,AuthorizedOfficialMiddleName,AuthorizedOfficialTitleorPosition,AuthorizedOfficialTelephoneNumber,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch | |
| 1841845112,1,,,,BIGHAM,BETH,BRITTANY,DR.,,,,,,,,,,,,VIALE CAMISANO 56,APT 17B,VICENZA,IT,36100,IT,,,UNIT 33100,,APO,AE,09180,DE,3146369790,0444711230,08/05/2019,08/11/2023,,,,F,,,,,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC,,183500000X,28775,NC, | |