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1083057798 NPI number — GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION

NPI Number: 1083057798
Health Care Provider/Practitioner: GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION

Information about “1083057798” NPI (GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION) exists in 1083057798 in HTML format HTML  |  1083057798 in plain Text format TXT  |  1083057798 in PDF (Portable Document Format) PDF  |  1083057798 in an XML format XML  formats.

NPI Number : 1083057798 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083057798",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION",
    "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": "13847 E 14TH ST STE 203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN LEANDRO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94578-2626",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-352-5325",
    "MailingAddressFaxNumber": "510-351-7446",
    "FirstLinePracticeLocationAddress": "13847 E 14TH ST STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN LEANDRO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94578-2626",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-352-5325",
    "PracticeLocationAddressFaxNumber": "510-351-7446",
    "EnumerationDate": "04/11/2013",
    "LastUpdateDate": "04/11/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VISCOVICH-BUSBY",
    "AuthorizedOfficialFirstName": "SHANNON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "925-961-8920",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "00C32269",
        "LicenseNumberStateCode": "CA",
        "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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