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1093910762 NPI number — UNIVERSITY OF NORTH DAKOTA

NPI Number: 1093910762
Health Care Provider/Practitioner: UNIVERSITY OF NORTH DAKOTA

Information about “1093910762” NPI (UNIVERSITY OF NORTH DAKOTA) exists in 1093910762 in HTML format HTML  |  1093910762 in plain Text format TXT  |  1093910762 in PDF (Portable Document Format) PDF  |  1093910762 in an XML format XML  formats.

NPI Number : 1093910762 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093910762",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "UNIVERSITY OF NORTH DAKOTA",
    "ParentOrgTIN": null,
    "OrgName": "UNIVERSITY OF NORTH DAKOTA",
    "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": "290 CENTENNIAL DR STOP 8040",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND FORKS",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58202-8040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-777-3232",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "290 CENTENNIAL DR",
    "SecondLinePracticeLocationAddress": "MONTGOMERY HALL ROOM 101",
    "PracticeLocationAddressCityName": "GRAND FORKS",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58202-6063",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-777-3727",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/20/2007",
    "LastUpdateDate": "07/21/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MADDEN",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "DEPARTMENT CHAIR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D.",
    "AuthorizedOfficialTelephoneNumber": "701-777-3232",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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