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1285144287 NPI number — ZACHARY DWAYNE MINER

NPI Number: 1285144287
Health Care Provider/Practitioner: ZACHARY DWAYNE MINER

Information about “1285144287” NPI (ZACHARY DWAYNE MINER) exists in 1285144287 in HTML format HTML  |  1285144287 in plain Text format TXT  |  1285144287 in PDF (Portable Document Format) PDF  |  1285144287 in an XML format XML  formats.

NPI Number : 1285144287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285144287",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MINER",
    "FirstName": "ZACHARY",
    "MiddleName": "DWAYNE",
    "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": "3229 DOLORES AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TOLEDO",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43607-2725",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3229 DOLORES AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TOLEDO",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43607-2725",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-404-7323",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2017",
    "LastUpdateDate": "10/04/2017",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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