NPI Code Detail JSON Logo

1073198537 NPI number — DOTSON HOLDINGS LLC

NPI Number: 1073198537
Health Care Provider/Practitioner: DOTSON HOLDINGS LLC

Information about “1073198537” NPI (DOTSON HOLDINGS LLC) exists in 1073198537 in HTML format HTML  |  1073198537 in plain Text format TXT  |  1073198537 in PDF (Portable Document Format) PDF  |  1073198537 in an XML format XML  formats.

NPI Number : 1073198537 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073198537",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DOTSON HOLDINGS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 121",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAYSON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41143-0121",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-255-3154",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "16 WILLIAM POPE DR STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUFFTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29909-7504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-770-7707",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/16/2021",
    "LastUpdateDate": "09/30/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOTSON",
    "AuthorizedOfficialFirstName": "JACOB",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "606-255-3154",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "333600000X",
        "TaxonomyName": "Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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