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1023188190 NPI number — VERNON POWELL SHOE COMPANY

NPI Number: 1023188190
Health Care Provider/Practitioner: VERNON POWELL SHOE COMPANY

Information about “1023188190” NPI (VERNON POWELL SHOE COMPANY) exists in 1023188190 in HTML format HTML  |  1023188190 in plain Text format TXT  |  1023188190 in PDF (Portable Document Format) PDF  |  1023188190 in an XML format XML  formats.

NPI Number : 1023188190 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023188190",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VERNON POWELL SHOE COMPANY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2401 E NAYLOR MILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALISBURY",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21804-2101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-749-4561",
    "MailingAddressFaxNumber": "410-749-8453",
    "FirstLinePracticeLocationAddress": "2401 E NAYLOR MILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALISBURY",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21804-2101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-749-4561",
    "PracticeLocationAddressFaxNumber": "410-749-8453",
    "EnumerationDate": "11/08/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WRIGHT",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "410-749-4561",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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