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1235594979 NPI number — NEMATULLAH VASOWALA

NPI Number: 1235594979
Health Care Provider/Practitioner: NEMATULLAH VASOWALA

Information about “1235594979” NPI (NEMATULLAH VASOWALA) exists in 1235594979 in HTML format HTML  |  1235594979 in plain Text format TXT  |  1235594979 in PDF (Portable Document Format) PDF  |  1235594979 in an XML format XML  formats.

NPI Number : 1235594979 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235594979",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEMATULLAH VASOWALA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "1 S WOODLEIGH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHERRY HILL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08003-3145",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-427-7917",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 S WOODLEIGH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHERRY HILL",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08003-3145",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-427-7917",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/23/2015",
    "LastUpdateDate": "12/19/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VASOWALA",
    "AuthorizedOfficialFirstName": "NEMATULLAH",
    "AuthorizedOfficialMiddleName": "Q",
    "AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT",
    "AuthorizedOfficialTelephoneNumber": "401-369-6952",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": "40QA01668100",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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