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1295676641 NPI number — ANDRE YONAN

NPI Number: 1295676641
Health Care Provider/Practitioner: ANDRE YONAN

Information about “1295676641” NPI (ANDRE YONAN) exists in 1295676641 in HTML format HTML  |  1295676641 in plain Text format TXT  |  1295676641 in PDF (Portable Document Format) PDF  |  1295676641 in an XML format XML  formats.

NPI Number : 1295676641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295676641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YONAN",
    "FirstName": "ANDRE",
    "MiddleName": null,
    "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": "19 JACQUELINE RD APT F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALTHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02452-4906",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "330 MOUNT AUBURN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMBRIDGE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02138-5597",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-492-3500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2026",
    "LastUpdateDate": "04/01/2026",
    "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": "1835E0208X",
        "TaxonomyName": "Emergency Medicine Pharmacist",
        "LicenseNumber": "PH240955",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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