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1477781680 NPI number — JERRY L HARVEY, DO, PA

NPI Number: 1477781680
Health Care Provider/Practitioner: JERRY L HARVEY, DO, PA

Information about “1477781680” NPI (JERRY L HARVEY, DO, PA) exists in 1477781680 in HTML format HTML  |  1477781680 in plain Text format TXT  |  1477781680 in PDF (Portable Document Format) PDF  |  1477781680 in an XML format XML  formats.

NPI Number : 1477781680 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477781680",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JERRY L HARVEY, DO, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "15361 HIGHWAY 5",
    "SecondLineMailingAddress": "SUITE E",
    "MailingAddressCityName": "CABOT",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72023-5128",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-605-9355",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15361 HIGHWAY 5",
    "SecondLinePracticeLocationAddress": "SUITE E",
    "PracticeLocationAddressCityName": "CABOT",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72023-5128",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-605-9355",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/25/2009",
    "LastUpdateDate": "06/25/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARVEY",
    "AuthorizedOfficialFirstName": "JERRY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.O.",
    "AuthorizedOfficialTelephoneNumber": "501-605-9355",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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