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1477654473 NPI number — RYAN NATHANIEL HARRIS D.O.

NPI Number: 1477654473
Health Care Provider/Practitioner: RYAN NATHANIEL HARRIS D.O.

Information about “1477654473” NPI (RYAN NATHANIEL HARRIS D.O.) exists in 1477654473 in HTML format HTML  |  1477654473 in plain Text format TXT  |  1477654473 in PDF (Portable Document Format) PDF  |  1477654473 in an XML format XML  formats.

NPI Number : 1477654473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477654473",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARRIS",
    "FirstName": "RYAN",
    "MiddleName": "NATHANIEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2900 LAMB CIR",
    "SecondLineMailingAddress": "SUITE L 760",
    "MailingAddressCityName": "CHRISTIANSBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24073-6344",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-731-2436",
    "MailingAddressFaxNumber": "540-731-2439",
    "FirstLinePracticeLocationAddress": "2900 LAMB CIR",
    "SecondLinePracticeLocationAddress": "SUITE L 760",
    "PracticeLocationAddressCityName": "CHRISTIANSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24073-6344",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-731-2436",
    "PracticeLocationAddressFaxNumber": "540-731-2439",
    "EnumerationDate": "09/25/2006",
    "LastUpdateDate": "12/11/2020",
    "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": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "OTO11281",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2083A0100X",
          "TaxonomyName": "Aerospace Medicine Physician",
          "LicenseNumber": "OSO13828",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "0102203415",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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