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1235191081 NPI number — CHRISTOPHE K DEBRADY

NPI Number: 1235191081
Health Care Provider/Practitioner: CHRISTOPHE K DEBRADY

Information about “1235191081” NPI (CHRISTOPHE K DEBRADY) exists in 1235191081 in HTML format HTML  |  1235191081 in plain Text format TXT  |  1235191081 in PDF (Portable Document Format) PDF  |  1235191081 in an XML format XML  formats.

NPI Number : 1235191081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235191081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEBRADY",
    "FirstName": "CHRISTOPHE",
    "MiddleName": "K",
    "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": "3998 FAIR RIDGE DR",
    "SecondLineMailingAddress": "STE 300",
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22033-2907",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-295-9360",
    "MailingAddressFaxNumber": "703-766-9725",
    "FirstLinePracticeLocationAddress": "1 HEALTHY WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEANSIDE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11572-1551",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-768-8462",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2006",
    "LastUpdateDate": "03/03/2015",
    "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": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "185351",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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