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1346562436 NPI number — S AMIR ALI TAVAKOLI ISFAHANI O.D.

NPI Number: 1346562436
Health Care Provider/Practitioner: S AMIR ALI TAVAKOLI ISFAHANI O.D.

Information about “1346562436” NPI (S AMIR ALI TAVAKOLI ISFAHANI O.D.) exists in 1346562436 in HTML format HTML  |  1346562436 in plain Text format TXT  |  1346562436 in PDF (Portable Document Format) PDF  |  1346562436 in an XML format XML  formats.

NPI Number : 1346562436 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346562436",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAVAKOLI ISFAHANI",
    "FirstName": "S AMIR ALI",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1200 PRESIDENTS WAY SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTSVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35803-3673",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-797-3606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11610 S MEMORIAL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTSVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35803-2152",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-881-3763",
    "PracticeLocationAddressFaxNumber": "256-881-5327",
    "EnumerationDate": "02/17/2010",
    "LastUpdateDate": "02/17/2010",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "S-C19-TA-840",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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