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1083790083 NPI number — JOHN A. EPPOLITO JR. MD

NPI Number: 1083790083
Health Care Provider/Practitioner: JOHN A. EPPOLITO JR. MD

Information about “1083790083” NPI (JOHN A. EPPOLITO JR. MD) exists in 1083790083 in HTML format HTML  |  1083790083 in plain Text format TXT  |  1083790083 in PDF (Portable Document Format) PDF  |  1083790083 in an XML format XML  formats.

NPI Number : 1083790083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083790083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EPPOLITO",
    "FirstName": "JOHN",
    "MiddleName": "A.",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "EPPOLITO",
    "OtherFirstName": "JOHN",
    "OtherMiddleName": "ANTHONY",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "SPEARE MEMORIAL HOSPITAL, 16 HOSPITAL ROAD",
    "SecondLineMailingAddress": "EMERGENCY MEDICINE DEPARTMENT",
    "MailingAddressCityName": "PLYMOUTH",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03264",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "SPEARE MEMORIAL HOSPITAL, 16 HOSPITAL ROAD",
    "SecondLinePracticeLocationAddress": "EMERGENCY MEDICINE DEPARTMENT",
    "PracticeLocationAddressCityName": "PLYMOUTH",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03264",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-536-1120",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/31/2006",
    "LastUpdateDate": "03/07/2023",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "10156",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "2015003094",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "2015003094",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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