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1346493806 NPI number — EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA

NPI Number: 1346493806
Health Care Provider/Practitioner: EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA

Information about “1346493806” NPI (EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA) exists in 1346493806 in HTML format HTML  |  1346493806 in plain Text format TXT  |  1346493806 in PDF (Portable Document Format) PDF  |  1346493806 in an XML format XML  formats.

NPI Number : 1346493806 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346493806",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA",
    "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": "1427 JEFFERSON AVE STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ENUMCLAW",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98022-3649",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-825-4466",
    "MailingAddressFaxNumber": "360-825-2064",
    "FirstLinePracticeLocationAddress": "1427 JEFFERSON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ENUMCLAW",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98022-3613",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-825-4466",
    "PracticeLocationAddressFaxNumber": "360-825-2064",
    "EnumerationDate": "10/28/2008",
    "LastUpdateDate": "01/08/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BECKER",
    "AuthorizedOfficialFirstName": "NANCY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "360-825-4466",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207YX0905X",
          "TaxonomyName": "Otolaryngology/Facial Plastic Surgery Physician",
          "LicenseNumber": "OP00001317",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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