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1255522173 NPI number — DAVID ALBAN BULLOCK DC

NPI Number: 1255522173
Health Care Provider/Practitioner: DAVID ALBAN BULLOCK DC

Information about “1255522173” NPI (DAVID ALBAN BULLOCK DC) exists in 1255522173 in HTML format HTML  |  1255522173 in plain Text format TXT  |  1255522173 in PDF (Portable Document Format) PDF  |  1255522173 in an XML format XML  formats.

NPI Number : 1255522173 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255522173",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BULLOCK",
    "FirstName": "DAVID",
    "MiddleName": "ALBAN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25000 PLAZA LARIOS",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VALENCIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91355-3009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-723-9111",
    "MailingAddressFaxNumber": "818-899-8712",
    "FirstLinePracticeLocationAddress": "13466 OSBORNE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLETA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91331-5522",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-899-2591",
    "PracticeLocationAddressFaxNumber": "818-899-8712",
    "EnumerationDate": "08/06/2007",
    "LastUpdateDate": "08/06/2007",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "29938",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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