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1184426751 NPI number — JAMES MATTHEW CHILCOTT JR. RN

NPI Number: 1184426751
Health Care Provider/Practitioner: JAMES MATTHEW CHILCOTT JR. RN

Information about “1184426751” NPI (JAMES MATTHEW CHILCOTT JR. RN) exists in 1184426751 in HTML format HTML  |  1184426751 in plain Text format TXT  |  1184426751 in PDF (Portable Document Format) PDF  |  1184426751 in an XML format XML  formats.

NPI Number : 1184426751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184426751",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHILCOTT",
    "FirstName": "JAMES",
    "MiddleName": "MATTHEW",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3802 49TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92105-2101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-320-3716",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3075 HEALTH CENTER DR STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92123-2773",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-637-7888",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/25/2025",
    "LastUpdateDate": "03/25/2025",
    "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": "163WX0200X",
        "TaxonomyName": "Oncology Registered Nurse",
        "LicenseNumber": "95114726",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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