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1326280629 NPI number — M J MEDICAL EQUIPMENT SUPPLY

NPI Number: 1326280629
Health Care Provider/Practitioner: M J MEDICAL EQUIPMENT SUPPLY

Information about “1326280629” NPI (M J MEDICAL EQUIPMENT SUPPLY) exists in 1326280629 in HTML format HTML  |  1326280629 in plain Text format TXT  |  1326280629 in PDF (Portable Document Format) PDF  |  1326280629 in an XML format XML  formats.

NPI Number : 1326280629 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326280629",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "M J MEDICAL EQUIPMENT SUPPLY",
    "LastName": null,
    "FirstName": null,
    "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": "1805 LAKE BLUFF DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75043-7554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-680-8963",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1805 LAKE BLUFF DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARLAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75043-7554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-680-8963",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2009",
    "LastUpdateDate": "04/01/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OKEKE",
    "AuthorizedOfficialFirstName": "JOE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SNR ACOUNTANT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CFO",
    "AuthorizedOfficialTelephoneNumber": "214-680-8963",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BC3200X",
        "TaxonomyName": "Customized Equipment (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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