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1336447978 NPI number — EMMANUEL NDUBUEZE

NPI Number: 1336447978
Health Care Provider/Practitioner: EMMANUEL NDUBUEZE

Information about “1336447978” NPI (EMMANUEL NDUBUEZE) exists in 1336447978 in HTML format HTML  |  1336447978 in plain Text format TXT  |  1336447978 in PDF (Portable Document Format) PDF  |  1336447978 in an XML format XML  formats.

NPI Number : 1336447978 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336447978",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NDUBUEZE",
    "FirstName": "EMMANUEL",
    "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": "14467 WOODLEIGH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESTER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23831-6574",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-796-1034",
    "MailingAddressFaxNumber": "804-318-1870",
    "FirstLinePracticeLocationAddress": "5210 OAKLAWN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOPEWELL",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23860-7336",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-458-8688",
    "PracticeLocationAddressFaxNumber": "804-458-1803",
    "EnumerationDate": "03/07/2011",
    "LastUpdateDate": "03/07/2011",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "0202009523",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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