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1376072249 NPI number — VICTOR VAPOR-CUI APRN

NPI Number: 1376072249
Health Care Provider/Practitioner: VICTOR VAPOR-CUI APRN

Information about “1376072249” NPI (VICTOR VAPOR-CUI APRN) exists in 1376072249 in HTML format HTML  |  1376072249 in plain Text format TXT  |  1376072249 in PDF (Portable Document Format) PDF  |  1376072249 in an XML format XML  formats.

NPI Number : 1376072249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376072249",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAPOR-CUI",
    "FirstName": "VICTOR",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VAPOR",
    "OtherFirstName": "VICTOR",
    "OtherMiddleName": "REY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DNP, APRN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "12056 SCARSDALE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32246-9331",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-400-2960",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12056 SCARSDALE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32246-9331",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-400-2960",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2017",
    "LastUpdateDate": "09/26/2022",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "828427",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "APRN9376012",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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