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1093355216 NPI number — BURHAN ADAM DAYNAB ASSISTED LIVING

NPI Number: 1093355216
Health Care Provider/Practitioner: BURHAN ADAM DAYNAB ASSISTED LIVING

Information about “1093355216” NPI (BURHAN ADAM DAYNAB ASSISTED LIVING) exists in 1093355216 in HTML format HTML  |  1093355216 in plain Text format TXT  |  1093355216 in PDF (Portable Document Format) PDF  |  1093355216 in an XML format XML  formats.

NPI Number : 1093355216 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093355216",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAYNAB",
    "FirstName": "BURHAN",
    "MiddleName": "ADAM",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ASSISTED LIVING",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAYNAB",
    "OtherFirstName": "BURHAN",
    "OtherMiddleName": "ADAM",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1609 EDGEWOOD AVE S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ST LOUIS PARK",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55426-2101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-564-0682",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1609 EDGEWOOD AVE S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ST LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55426-2101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-564-0682",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/15/2020",
    "LastUpdateDate": "03/19/2020",
    "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": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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