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1073042800 NPI number — VIRGINIA PAC SERVICES PC

NPI Number: 1073042800
Health Care Provider/Practitioner: VIRGINIA PAC SERVICES PC

Information about “1073042800” NPI (VIRGINIA PAC SERVICES PC) exists in 1073042800 in HTML format HTML  |  1073042800 in plain Text format TXT  |  1073042800 in PDF (Portable Document Format) PDF  |  1073042800 in an XML format XML  formats.

NPI Number : 1073042800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073042800",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VIRGINIA PAC SERVICES PC",
    "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": "1643 NW 136TH AVE STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNRISE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33323-2857",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-693-1000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15051 HARMONY HILLS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ABINGDON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24211-7661",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-693-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2017",
    "LastUpdateDate": "09/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "UPPAL",
    "AuthorizedOfficialFirstName": "ROHIT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "865-693-1000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208M00000X",
        "TaxonomyName": "Hospitalist Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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