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1528158086 NPI number — BENJAMIN VINCENT DC

NPI Number: 1528158086
Health Care Provider/Practitioner: BENJAMIN VINCENT DC

Information about “1528158086” NPI (BENJAMIN VINCENT DC) exists in 1528158086 in HTML format HTML  |  1528158086 in plain Text format TXT  |  1528158086 in PDF (Portable Document Format) PDF  |  1528158086 in an XML format XML  formats.

NPI Number : 1528158086 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528158086",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VINCENT",
    "FirstName": "BENJAMIN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1042 BARTLETT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UPPER JAY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12987-3402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-946-2620",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13036 NYS RTE 9N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JAY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12941",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-946-7886",
    "PracticeLocationAddressFaxNumber": "518-946-7367",
    "EnumerationDate": "10/13/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "X010729",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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