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1497972533 NPI number — WILLIAM JEFFREY FLUKE

NPI Number: 1497972533
Health Care Provider/Practitioner: WILLIAM JEFFREY FLUKE

Information about “1497972533” NPI (WILLIAM JEFFREY FLUKE) exists in 1497972533 in HTML format HTML  |  1497972533 in plain Text format TXT  |  1497972533 in PDF (Portable Document Format) PDF  |  1497972533 in an XML format XML  formats.

NPI Number : 1497972533 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497972533",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FLUKE",
    "FirstName": "WILLIAM",
    "MiddleName": "JEFFREY",
    "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": "4970 NORTHWIND DR",
    "SecondLineMailingAddress": "SUITE 226",
    "MailingAddressCityName": "EAST LANSING",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48823-5080",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-336-1942",
    "MailingAddressFaxNumber": "517-336-1944",
    "FirstLinePracticeLocationAddress": "724 N CLIPPERT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANSING",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48912-4733",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-333-0830",
    "PracticeLocationAddressFaxNumber": "517-333-1519",
    "EnumerationDate": "04/19/2007",
    "LastUpdateDate": "06/07/2010",
    "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": "237700000X",
          "TaxonomyName": "Hearing Instrument Specialist",
          "LicenseNumber": "3501002222",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "332S00000X",
          "TaxonomyName": "Hearing Aid Equipment",
          "LicenseNumber": "3501002222",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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