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1487967170 NPI number — DOMINIK M CHRZAN M.D.

NPI Number: 1487967170
Health Care Provider/Practitioner: DOMINIK M CHRZAN M.D.

Information about “1487967170” NPI (DOMINIK M CHRZAN M.D.) exists in 1487967170 in HTML format HTML  |  1487967170 in plain Text format TXT  |  1487967170 in PDF (Portable Document Format) PDF  |  1487967170 in an XML format XML  formats.

NPI Number : 1487967170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487967170",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHRZAN",
    "FirstName": "DOMINIK",
    "MiddleName": "M",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9970 CENTRAL PARK BLVD N",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "BOCA RATON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33428-2231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-430-3599",
    "MailingAddressFaxNumber": "561-430-3529",
    "FirstLinePracticeLocationAddress": "9970 CENTRAL PARK BLVD N",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33428-2231",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-430-3599",
    "PracticeLocationAddressFaxNumber": "561-430-3529",
    "EnumerationDate": "07/22/2010",
    "LastUpdateDate": "02/16/2015",
    "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": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "ME117139",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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