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1174930481 NPI number — DAN MARKOVICH

NPI Number: 1174930481
Health Care Provider/Practitioner: DAN MARKOVICH

Information about “1174930481” NPI (DAN MARKOVICH) exists in 1174930481 in HTML format HTML  |  1174930481 in plain Text format TXT  |  1174930481 in PDF (Portable Document Format) PDF  |  1174930481 in an XML format XML  formats.

NPI Number : 1174930481 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174930481",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARKOVICH",
    "FirstName": "DAN",
    "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": "107 THISTLEDOWN WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAYLORS",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29687-5852",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "107 THISTLEDOWN WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAYLORS",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29687-5852",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-877-9268",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/18/2014",
    "LastUpdateDate": "07/18/2014",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "137",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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