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1215095245 NPI number — FRANKLIN R KNOWLTON OD,PLLC

NPI Number: 1215095245
Health Care Provider/Practitioner: FRANKLIN R KNOWLTON OD,PLLC

Information about “1215095245” NPI (FRANKLIN R KNOWLTON OD,PLLC) exists in 1215095245 in HTML format HTML  |  1215095245 in plain Text format TXT  |  1215095245 in PDF (Portable Document Format) PDF  |  1215095245 in an XML format XML  formats.

NPI Number : 1215095245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215095245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNOWLTON",
    "FirstName": "FRANKLIN",
    "MiddleName": "R",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "OD,PLLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KNOWLTON",
    "OtherFirstName": "F",
    "OtherMiddleName": "RENNY",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "195 E GENTILE ST",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "LAYTON",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84041-3754",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-546-2020",
    "MailingAddressFaxNumber": "801-546-1237",
    "FirstLinePracticeLocationAddress": "195 E GENTILE ST",
    "SecondLinePracticeLocationAddress": "SUITE 3",
    "PracticeLocationAddressCityName": "LAYTON",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84041-3754",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-546-2020",
    "PracticeLocationAddressFaxNumber": "801-546-1237",
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "08/23/2011",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "1089469934",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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