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1023618402 NPI number — DARREN MICHAEL LEBEAU RPH

NPI Number: 1023618402
Health Care Provider/Practitioner: DARREN MICHAEL LEBEAU RPH

Information about “1023618402” NPI (DARREN MICHAEL LEBEAU RPH) exists in 1023618402 in HTML format HTML  |  1023618402 in plain Text format TXT  |  1023618402 in PDF (Portable Document Format) PDF  |  1023618402 in an XML format XML  formats.

NPI Number : 1023618402 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023618402",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEBEAU",
    "FirstName": "DARREN",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "105 PAIGE HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIMFIELD",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01010-9777",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-531-4740",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1105 BOSTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01119-1333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-782-6897",
    "PracticeLocationAddressFaxNumber": "413-783-5838",
    "EnumerationDate": "10/27/2020",
    "LastUpdateDate": "10/27/2020",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PH26854",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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