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1407277627 NPI number — ADVENT MEDICAL, PLLC

NPI Number: 1407277627
Health Care Provider/Practitioner: ADVENT MEDICAL, PLLC

Information about “1407277627” NPI (ADVENT MEDICAL, PLLC) exists in 1407277627 in HTML format HTML  |  1407277627 in plain Text format TXT  |  1407277627 in PDF (Portable Document Format) PDF  |  1407277627 in an XML format XML  formats.

NPI Number : 1407277627 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407277627",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVENT MEDICAL, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1139 NORTH HIGHWAY 77",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARION",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72364",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-559-2480",
    "MailingAddressFaxNumber": "870-559-2555",
    "FirstLinePracticeLocationAddress": "1139 STATE HIGHWAY 77",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARION",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72364-9027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "870-559-2480",
    "PracticeLocationAddressFaxNumber": "870-559-2555",
    "EnumerationDate": "12/16/2013",
    "LastUpdateDate": "08/08/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STEWART",
    "AuthorizedOfficialFirstName": "JASON",
    "AuthorizedOfficialMiddleName": "CASEY",
    "AuthorizedOfficialTitle": "NURSE PRACTITIONER/EMPLOYEE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "901-337-7132",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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