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1548009343 NPI number — JACKSON SANGUILY

NPI Number: 1548009343
Health Care Provider/Practitioner: JACKSON SANGUILY

Information about “1548009343” NPI (JACKSON SANGUILY) exists in 1548009343 in HTML format HTML  |  1548009343 in plain Text format TXT  |  1548009343 in PDF (Portable Document Format) PDF  |  1548009343 in an XML format XML  formats.

NPI Number : 1548009343 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548009343",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANGUILY",
    "FirstName": "JACKSON",
    "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": "6 CARRIAGE WALK LN APT 342",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCARBOROUGH",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04074-8296",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3827 N LAFAYETTE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80205-5089",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-500-1518",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/21/2024",
    "LastUpdateDate": "05/21/2024",
    "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": "146N00000X",
        "TaxonomyName": "Basic Emergency Medical Technician",
        "LicenseNumber": "Q212354",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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