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1528521705 NPI number — OSTEOPATHIC PHYSICIANS OF THE POTOMAC

NPI Number: 1528521705
Health Care Provider/Practitioner: OSTEOPATHIC PHYSICIANS OF THE POTOMAC

Information about “1528521705” NPI (OSTEOPATHIC PHYSICIANS OF THE POTOMAC) exists in 1528521705 in HTML format HTML  |  1528521705 in plain Text format TXT  |  1528521705 in PDF (Portable Document Format) PDF  |  1528521705 in an XML format XML  formats.

NPI Number : 1528521705 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528521705",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OSTEOPATHIC PHYSICIANS OF THE POTOMAC",
    "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": "9300 CORPORATE BLVD APT 1347",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20850-3795",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-466-4351",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10810 DARNESTOWN RD STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAITHERSBURG",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20878-2601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-660-8855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2019",
    "LastUpdateDate": "04/13/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KAISER",
    "AuthorizedOfficialFirstName": "GRADY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "301-660-8855",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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