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1053713230 NPI number — HIGHLANDS RANCH FAMILY MEDICINE

NPI Number: 1053713230
Health Care Provider/Practitioner: HIGHLANDS RANCH FAMILY MEDICINE

Information about “1053713230” NPI (HIGHLANDS RANCH FAMILY MEDICINE) exists in 1053713230 in HTML format HTML  |  1053713230 in plain Text format TXT  |  1053713230 in PDF (Portable Document Format) PDF  |  1053713230 in an XML format XML  formats.

NPI Number : 1053713230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053713230",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HIGHLANDS RANCH FAMILY MEDICINE",
    "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": "10650 GARDEN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AURORA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80012-7018",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-369-7752",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10650 GARDEN DR UNIT 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AURORA",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80012-7019",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-369-7752",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2014",
    "LastUpdateDate": "09/19/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FERRER",
    "AuthorizedOfficialFirstName": "ARTHUR",
    "AuthorizedOfficialMiddleName": "FERNANDEZ",
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D",
    "AuthorizedOfficialTelephoneNumber": "303-369-7752",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "CO38896",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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