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1336398379 NPI number — CHARLES CURTIS ROBINSON II MD

NPI Number: 1336398379
Health Care Provider/Practitioner: CHARLES CURTIS ROBINSON II MD

Information about “1336398379” NPI (CHARLES CURTIS ROBINSON II MD) exists in 1336398379 in HTML format HTML  |  1336398379 in plain Text format TXT  |  1336398379 in PDF (Portable Document Format) PDF  |  1336398379 in an XML format XML  formats.

NPI Number : 1336398379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336398379",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBINSON",
    "FirstName": "CHARLES",
    "MiddleName": "CURTIS",
    "NamePrefix": "DR.",
    "NameSuffix": "II",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROBINSON",
    "OtherFirstName": "C",
    "OtherMiddleName": "CURTIS",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "II",
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1590 LITTLE RAVEN ST",
    "SecondLineMailingAddress": "301",
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80202-6182",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-893-0883",
    "MailingAddressFaxNumber": "303-893-0883",
    "FirstLinePracticeLocationAddress": "2509 CUTLER AVE NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87106-2509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-232-3856",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/15/2008",
    "LastUpdateDate": "09/15/2008",
    "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": "207Y00000X",
        "TaxonomyName": "Otolaryngology Physician",
        "LicenseNumber": "71-199",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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