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1487166450 NPI number — EMILE T. GENEUX IIDDS, BENJAMIN A. BEACH DDS, AND ROSS H. DIES DDS, LL

NPI Number: 1487166450
Health Care Provider/Practitioner: EMILE T. GENEUX IIDDS, BENJAMIN A. BEACH DDS, AND ROSS H. DIES DDS, LL

Information about “1487166450” NPI (EMILE T. GENEUX IIDDS, BENJAMIN A. BEACH DDS, AND ROSS H. DIES DDS, LL) exists in 1487166450 in HTML format HTML  |  1487166450 in plain Text format TXT  |  1487166450 in PDF (Portable Document Format) PDF  |  1487166450 in an XML format XML  formats.

NPI Number : 1487166450 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487166450",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMILE T. GENEUX IIDDS, BENJAMIN A. BEACH DDS, AND ROSS H. DIES DDS, LL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2533 BERT KOUN LOOP STE 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHREVEPORT",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71118-3158",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-688-1040",
    "MailingAddressFaxNumber": "318-688-3039",
    "FirstLinePracticeLocationAddress": "2533 BERT KOUN LOOP STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHREVEPORT",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71118-3158",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-688-1040",
    "PracticeLocationAddressFaxNumber": "318-688-3039",
    "EnumerationDate": "10/31/2017",
    "LastUpdateDate": "10/31/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCOY",
    "AuthorizedOfficialFirstName": "CANDACE",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "TEAM LEADER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "318-688-1040",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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