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1457875106 NPI number — EARL THOMAS CAGE I ETC.

NPI Number: 1457875106
Health Care Provider/Practitioner: EARL THOMAS CAGE I ETC.

Information about “1457875106” NPI (EARL THOMAS CAGE I ETC.) exists in 1457875106 in HTML format HTML  |  1457875106 in plain Text format TXT  |  1457875106 in PDF (Portable Document Format) PDF  |  1457875106 in an XML format XML  formats.

NPI Number : 1457875106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457875106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CAGE",
    "FirstName": "EARL",
    "MiddleName": "THOMAS",
    "NamePrefix": "MR.",
    "NameSuffix": "I",
    "Credential": "ETC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CAGE",
    "OtherFirstName": "EARL",
    "OtherMiddleName": "THOMAS",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "I",
    "OtherCredential": "ETC.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "646 N MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HALIFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24558-3248",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "434-579-6950",
    "MailingAddressFaxNumber": "434-476-7782",
    "FirstLinePracticeLocationAddress": "646 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HALIFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24558-3248",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "434-579-6950",
    "PracticeLocationAddressFaxNumber": "434-476-7782",
    "EnumerationDate": "08/02/2017",
    "LastUpdateDate": "07/21/2022",
    "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": "172A00000X",
          "TaxonomyName": "Driver",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172A00000X",
          "TaxonomyName": "Driver",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "344600000X",
          "TaxonomyName": "Taxi",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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