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1235478751 NPI number — JOSEPH DANIEL-BAILEY FERNANDER CPHT

NPI Number: 1235478751
Health Care Provider/Practitioner: JOSEPH DANIEL-BAILEY FERNANDER CPHT

Information about “1235478751” NPI (JOSEPH DANIEL-BAILEY FERNANDER CPHT) exists in 1235478751 in HTML format HTML  |  1235478751 in plain Text format TXT  |  1235478751 in PDF (Portable Document Format) PDF  |  1235478751 in an XML format XML  formats.

NPI Number : 1235478751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235478751",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERNANDER",
    "FirstName": "JOSEPH",
    "MiddleName": "DANIEL-BAILEY",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "CPHT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "130 PEACHTREE EAST SHOPPING CTR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEACHTREE CITY",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30269-4045",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-468-2026",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "118 RIDGEVIEW CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEACHTREE CITY",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30269-1533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-584-2755",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/04/2013",
    "LastUpdateDate": "02/04/2013",
    "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": "183700000X",
          "TaxonomyName": "Pharmacy Technician",
          "LicenseNumber": "PHTC003567",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183700000X",
          "TaxonomyName": "Pharmacy Technician",
          "LicenseNumber": "500107010023466",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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