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1295726461 NPI number — MICHELE GIRARDI DO

NPI Number: 1295726461
Health Care Provider/Practitioner: MICHELE GIRARDI DO

Information about “1295726461” NPI (MICHELE GIRARDI DO) exists in 1295726461 in HTML format HTML  |  1295726461 in plain Text format TXT  |  1295726461 in PDF (Portable Document Format) PDF  |  1295726461 in an XML format XML  formats.

NPI Number : 1295726461 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295726461",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIRARDI",
    "FirstName": "MICHELE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3998 FAIR RIDGE DR",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22033-2921",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-295-9360",
    "MailingAddressFaxNumber": "703-766-9725",
    "FirstLinePracticeLocationAddress": "221 JERICHO TPKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SYOSSET",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11791-4515",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-496-6447",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/04/2005",
    "LastUpdateDate": "04/02/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "188171",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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