NPI Code Detail JSON Logo

1073059747 NPI number — THEOPHILUS KWABENA ANGUAH

NPI Number: 1073059747
Health Care Provider/Practitioner: THEOPHILUS KWABENA ANGUAH

Information about “1073059747” NPI (THEOPHILUS KWABENA ANGUAH) exists in 1073059747 in HTML format HTML  |  1073059747 in plain Text format TXT  |  1073059747 in PDF (Portable Document Format) PDF  |  1073059747 in an XML format XML  formats.

NPI Number : 1073059747 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073059747",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANGUAH",
    "FirstName": "THEOPHILUS",
    "MiddleName": "KWABENA",
    "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": "F4. EMEFS HILLVIEW PALACE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEMA",
    "MailingAddressStateName": "NA",
    "MailingAddressPostalCode": "NA",
    "MailingAddressCountryCode": "GH",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "606 HOMER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINDEN",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71055-2910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-377-0131",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/18/2017",
    "LastUpdateDate": "01/18/2017",
    "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": "021853",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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