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1457839896 NPI number — NOAH KIPKORIR SANG AGACNP, FNP

NPI Number: 1457839896
Health Care Provider/Practitioner: NOAH KIPKORIR SANG AGACNP, FNP

Information about “1457839896” NPI (NOAH KIPKORIR SANG AGACNP, FNP) exists in 1457839896 in HTML format HTML  |  1457839896 in plain Text format TXT  |  1457839896 in PDF (Portable Document Format) PDF  |  1457839896 in an XML format XML  formats.

NPI Number : 1457839896 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457839896",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANG",
    "FirstName": "NOAH",
    "MiddleName": "KIPKORIR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGACNP, FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "288 N IRONWOOD DR STE 112",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "APACHE JUNCTION",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85120-3830",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-992-1455",
    "MailingAddressFaxNumber": "480-992-5477",
    "FirstLinePracticeLocationAddress": "105 S DELAWARE DR STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APACHE JUNCTION",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85120-6512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-646-1001",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2018",
    "LastUpdateDate": "01/16/2024",
    "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": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "AP11440",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "AP11415",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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