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1427502350 NPI number — LOOLUL MARJAN DMD

NPI Number: 1427502350
Health Care Provider/Practitioner: LOOLUL MARJAN DMD

Information about “1427502350” NPI (LOOLUL MARJAN DMD) exists in 1427502350 in HTML format HTML  |  1427502350 in plain Text format TXT  |  1427502350 in PDF (Portable Document Format) PDF  |  1427502350 in an XML format XML  formats.

NPI Number : 1427502350 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427502350",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARJAN",
    "FirstName": "LOOLUL",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARJAN",
    "OtherFirstName": "LOOLUL",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2341 CRYDON PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTHBROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60062-5983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-834-9853",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2821 GRAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAUKEGAN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60085-2372",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-662-4400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/09/2016",
    "LastUpdateDate": "08/13/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "019.030865",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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