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1417695966 NPI number — ALBERT NII AMOO QUAINOO

NPI Number: 1417695966
Health Care Provider/Practitioner: ALBERT NII AMOO QUAINOO

Information about “1417695966” NPI (ALBERT NII AMOO QUAINOO) exists in 1417695966 in HTML format HTML  |  1417695966 in plain Text format TXT  |  1417695966 in PDF (Portable Document Format) PDF  |  1417695966 in an XML format XML  formats.

NPI Number : 1417695966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417695966",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUAINOO",
    "FirstName": "ALBERT",
    "MiddleName": "NII AMOO",
    "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": "601 W 1ST AVE STE 1400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99201-3813",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-418-5216",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6601 CYPRESSWOOD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRING",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77379-7891",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "346-206-9890",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/24/2022",
    "LastUpdateDate": "02/19/2024",
    "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": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "1075967",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "AP61460818",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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