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1235755315 NPI number — MORGAN THARP LAT

NPI Number: 1235755315
Health Care Provider/Practitioner: MORGAN THARP LAT

Information about “1235755315” NPI (MORGAN THARP LAT) exists in 1235755315 in HTML format HTML  |  1235755315 in plain Text format TXT  |  1235755315 in PDF (Portable Document Format) PDF  |  1235755315 in an XML format XML  formats.

NPI Number : 1235755315 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235755315",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THARP",
    "FirstName": "MORGAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BURNHAM",
    "OtherFirstName": "MORGAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LAT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2805 HIGH POINTE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCKINNEY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75071-2627",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-402-8775",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4401 PARK SPRINGS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76017-2016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-402-8775",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/24/2020",
    "LastUpdateDate": "06/24/2020",
    "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": "207PS0010X",
        "TaxonomyName": "Sports Medicine (Emergency Medicine) Physician",
        "LicenseNumber": "7012",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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