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1043611825 NPI number — KARLIN PETRACEK PLLC

NPI Number: 1043611825
Health Care Provider/Practitioner: KARLIN PETRACEK PLLC

Information about “1043611825” NPI (KARLIN PETRACEK PLLC) exists in 1043611825 in HTML format HTML  |  1043611825 in plain Text format TXT  |  1043611825 in PDF (Portable Document Format) PDF  |  1043611825 in an XML format XML  formats.

NPI Number : 1043611825 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043611825",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KARLIN PETRACEK PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13402 W COAL MINE AVE",
    "SecondLineMailingAddress": "SUITE 270",
    "MailingAddressCityName": "LITTLETON",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80127-5407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-933-2420",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13402 W COAL MINE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 270",
    "PracticeLocationAddressCityName": "LITTLETON",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80127-5407",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-933-2420",
    "PracticeLocationAddressFaxNumber": "303-484-3662",
    "EnumerationDate": "09/11/2014",
    "LastUpdateDate": "09/17/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SAIDE KARLIN",
    "AuthorizedOfficialFirstName": "STEPHANIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "303-933-2420",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "8925",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "9269",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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