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1396158184 NPI number — RORY DIRK EYRING ATC

NPI Number: 1396158184
Health Care Provider/Practitioner: RORY DIRK EYRING ATC

Information about “1396158184” NPI (RORY DIRK EYRING ATC) exists in 1396158184 in HTML format HTML  |  1396158184 in plain Text format TXT  |  1396158184 in PDF (Portable Document Format) PDF  |  1396158184 in an XML format XML  formats.

NPI Number : 1396158184 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396158184",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EYRING",
    "FirstName": "RORY",
    "MiddleName": "DIRK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "802 E 21ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT SCOTT",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66701-2986",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-223-2700",
    "MailingAddressFaxNumber": "620-223-4438",
    "FirstLinePracticeLocationAddress": "2108 HORTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SCOTT",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66701-3141",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-223-2700",
    "PracticeLocationAddressFaxNumber": "620-223-4438",
    "EnumerationDate": "06/09/2014",
    "LastUpdateDate": "06/09/2014",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "24-00810",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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