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1497040802 NPI number — UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE

NPI Number: 1497040802
Health Care Provider/Practitioner: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE

Information about “1497040802” NPI (UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE) exists in 1497040802 in HTML format HTML  |  1497040802 in plain Text format TXT  |  1497040802 in PDF (Portable Document Format) PDF  |  1497040802 in an XML format XML  formats.

NPI Number : 1497040802 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497040802",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE",
    "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": "6439 GARNERS FERRY RD",
    "SecondLineMailingAddress": "BLDG 1, B33",
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29209-1638",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-216-3406",
    "MailingAddressFaxNumber": "803-216-3413",
    "FirstLinePracticeLocationAddress": "6439 GARNERS FERRY RD",
    "SecondLinePracticeLocationAddress": "BLDG 1, B33",
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29209-1638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-216-3406",
    "PracticeLocationAddressFaxNumber": "803-216-3413",
    "EnumerationDate": "06/14/2011",
    "LastUpdateDate": "06/14/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NAGARKATTI",
    "AuthorizedOfficialFirstName": "MITZI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHAIR OF PATH, MICRO, AND IMMUNO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD",
    "AuthorizedOfficialTelephoneNumber": "803-216-3404",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "G28417",
        "LicenseNumberStateCode": "ZZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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