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1184672297 NPI number — MICHAEL JACK HARMON MPT

NPI Number: 1184672297
Health Care Provider/Practitioner: MICHAEL JACK HARMON MPT

Information about “1184672297” NPI (MICHAEL JACK HARMON MPT) exists in 1184672297 in HTML format HTML  |  1184672297 in plain Text format TXT  |  1184672297 in PDF (Portable Document Format) PDF  |  1184672297 in an XML format XML  formats.

NPI Number : 1184672297 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184672297",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARMON",
    "FirstName": "MICHAEL",
    "MiddleName": "JACK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARMON",
    "OtherFirstName": "MICHAEL",
    "OtherMiddleName": "JACK",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MPT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "304 LANIER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHEBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27203-6357",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-629-0086",
    "MailingAddressFaxNumber": "336-629-0098",
    "FirstLinePracticeLocationAddress": "304 LANIER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASHEBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27203-5527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-629-0086",
    "PracticeLocationAddressFaxNumber": "336-629-0098",
    "EnumerationDate": "05/04/2006",
    "LastUpdateDate": "05/16/2014",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "7415",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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