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1518164912 NPI number — CHERYL POLLAK

NPI Number: 1518164912
Health Care Provider/Practitioner: CHERYL POLLAK

Information about “1518164912” NPI (CHERYL POLLAK) exists in 1518164912 in HTML format HTML  |  1518164912 in plain Text format TXT  |  1518164912 in PDF (Portable Document Format) PDF  |  1518164912 in an XML format XML  formats.

NPI Number : 1518164912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518164912",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHERYL POLLAK",
    "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": "2235 E PERSHING ST",
    "SecondLineMailingAddress": "SUITE F",
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44460-3478",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2235 E PERSHING ST",
    "SecondLinePracticeLocationAddress": "SUITE F",
    "PracticeLocationAddressCityName": "SALEM",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44460-3478",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-337-8333",
    "PracticeLocationAddressFaxNumber": "330-337-8373",
    "EnumerationDate": "06/29/2007",
    "LastUpdateDate": "01/23/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "POLLAK",
    "AuthorizedOfficialFirstName": "STEPHEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SECRETARY",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPO",
    "AuthorizedOfficialTelephoneNumber": "330-337-8333",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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