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1487732145 NPI number — EDWARD I. DAGHER MD

NPI Number: 1487732145
Health Care Provider/Practitioner: EDWARD I. DAGHER MD

Information about “1487732145” NPI (EDWARD I. DAGHER MD) exists in 1487732145 in HTML format HTML  |  1487732145 in plain Text format TXT  |  1487732145 in PDF (Portable Document Format) PDF  |  1487732145 in an XML format XML  formats.

NPI Number : 1487732145 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487732145",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAGHER",
    "FirstName": "EDWARD",
    "MiddleName": "I.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 13316",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLYMPIA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98508-3316",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-878-8862",
    "MailingAddressFaxNumber": "360-878-8619",
    "FirstLinePracticeLocationAddress": "1822 BLACK LAKE BLVD SW",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "OLYMPIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98512-5628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-877-8862",
    "PracticeLocationAddressFaxNumber": "360-878-8619",
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "12/24/2013",
    "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": "208100000X",
          "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
          "LicenseNumber": "MD60025245",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2083X0100X",
          "TaxonomyName": "Occupational Medicine Physician",
          "LicenseNumber": "MD60025245",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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