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1285661025 NPI number — DR. STEVEN A CROCE I

NPI Number: 1285661025
Health Care Provider/Practitioner: DR. STEVEN A CROCE I

Information about “1285661025” NPI (DR. STEVEN A CROCE I) exists in 1285661025 in HTML format HTML  |  1285661025 in plain Text format TXT  |  1285661025 in PDF (Portable Document Format) PDF  |  1285661025 in an XML format XML  formats.

NPI Number : 1285661025 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285661025",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CROCE",
    "FirstName": "STEVEN",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": "I",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CROCE",
    "OtherFirstName": "STEVEN",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "I",
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "622 GEORGE WASHINGTON HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02865-4211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-333-0550",
    "MailingAddressFaxNumber": "401-312-0083",
    "FirstLinePracticeLocationAddress": "622 GEORGE WASHINGTON HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02865-4211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-333-0550",
    "PracticeLocationAddressFaxNumber": "401-312-0083",
    "EnumerationDate": "06/27/2006",
    "LastUpdateDate": "07/09/2007",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "00DGT00473",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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