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1336499300 NPI number — DAVID EVERHEART

NPI Number: 1336499300
Health Care Provider/Practitioner: DAVID EVERHEART

Information about “1336499300” NPI (DAVID EVERHEART) exists in 1336499300 in HTML format HTML  |  1336499300 in plain Text format TXT  |  1336499300 in PDF (Portable Document Format) PDF  |  1336499300 in an XML format XML  formats.

NPI Number : 1336499300 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336499300",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DAVID EVERHEART",
    "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": "1350 E CALETA WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM SPRINGS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92262-3324",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-683-8539",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1350 E CALETA WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92262-3324",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-683-8539",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/17/2012",
    "LastUpdateDate": "09/17/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EVERHEART",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "PHILLIP",
    "AuthorizedOfficialTitle": "RNFA",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN CNOR",
    "AuthorizedOfficialTelephoneNumber": "949-683-8539",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": "519519",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA1903X",
          "TaxonomyName": "Ambulatory Surgical Clinic/Center",
          "LicenseNumber": "519519",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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