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1023168739 NPI number — MICHAEL JOHAN SCHOU MD

NPI Number: 1023168739
Health Care Provider/Practitioner: MICHAEL JOHAN SCHOU MD

Information about “1023168739” NPI (MICHAEL JOHAN SCHOU MD) exists in 1023168739 in HTML format HTML  |  1023168739 in plain Text format TXT  |  1023168739 in PDF (Portable Document Format) PDF  |  1023168739 in an XML format XML  formats.

NPI Number : 1023168739 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023168739",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHOU",
    "FirstName": "MICHAEL",
    "MiddleName": "JOHAN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1100 NW 95 ST",
    "SecondLineMailingAddress": "2ND FLOOR ADVANCE PAIN MANAGEMENT OF FLORIDA INC",
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33150-2098",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-694-3775",
    "MailingAddressFaxNumber": "305-694-3678",
    "FirstLinePracticeLocationAddress": "1100 NW 95 ST",
    "SecondLinePracticeLocationAddress": "2ND FLOOR ADVANCE PAIN MANAGEMENT OF FLORIDA INC",
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33150-2098",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-694-3775",
    "PracticeLocationAddressFaxNumber": "305-694-3678",
    "EnumerationDate": "01/12/2007",
    "LastUpdateDate": "02/03/2011",
    "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": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "ME38962",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208VP0000X",
          "TaxonomyName": "Pain Medicine Physician",
          "LicenseNumber": "ME38962",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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