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1265444210 NPI number — FOSTER JAMES CULLUM IV D.C

NPI Number: 1265444210
Health Care Provider/Practitioner: FOSTER JAMES CULLUM IV D.C

Information about “1265444210” NPI (FOSTER JAMES CULLUM IV D.C) exists in 1265444210 in HTML format HTML  |  1265444210 in plain Text format TXT  |  1265444210 in PDF (Portable Document Format) PDF  |  1265444210 in an XML format XML  formats.

NPI Number : 1265444210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265444210",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CULLUM",
    "FirstName": "FOSTER",
    "MiddleName": "JAMES",
    "NamePrefix": "DR.",
    "NameSuffix": "IV",
    "Credential": "D.C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CULLUM",
    "OtherFirstName": "FOSTER",
    "OtherMiddleName": "JAMES",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "IV",
    "OtherCredential": "D.C.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 47125",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32247-7125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-477-4480",
    "MailingAddressFaxNumber": "904-683-5619",
    "FirstLinePracticeLocationAddress": "3728 PHILLIPS HWY STE 13",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32207-6840",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-477-4480",
    "PracticeLocationAddressFaxNumber": "904-683-5619",
    "EnumerationDate": "08/11/2006",
    "LastUpdateDate": "02/24/2011",
    "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": "CH7576",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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