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1225266034 NPI number — CANDACE PEYTON ENGELHARDT MD

NPI Number: 1225266034
Health Care Provider/Practitioner: CANDACE PEYTON ENGELHARDT MD

Information about “1225266034” NPI (CANDACE PEYTON ENGELHARDT MD) exists in 1225266034 in HTML format HTML  |  1225266034 in plain Text format TXT  |  1225266034 in PDF (Portable Document Format) PDF  |  1225266034 in an XML format XML  formats.

NPI Number : 1225266034 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225266034",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ENGELHARDT",
    "FirstName": "CANDACE",
    "MiddleName": "PEYTON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3200 E CAMELBACK RD STE 250",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85018-2327",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-933-1813",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1919 E THOMAS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-933-0945",
    "PracticeLocationAddressFaxNumber": "602-933-4263",
    "EnumerationDate": "06/30/2009",
    "LastUpdateDate": "08/16/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "P6613",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080P0204X",
          "TaxonomyName": "Pediatric Emergency Medicine (Pediatrics) Physician",
          "LicenseNumber": "P6613",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "45810",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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