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1548457542 NPI number — MR. SAMUEL W AMUZU

NPI Number: 1548457542
Health Care Provider/Practitioner: MR. SAMUEL W AMUZU

Information about “1548457542” NPI (MR. SAMUEL W AMUZU) exists in 1548457542 in HTML format HTML  |  1548457542 in plain Text format TXT  |  1548457542 in PDF (Portable Document Format) PDF  |  1548457542 in an XML format XML  formats.

NPI Number : 1548457542 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548457542",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMUZU",
    "FirstName": "SAMUEL",
    "MiddleName": "W",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "EQUIPMENT AND SUPPLIES",
    "OtherFirstName": "SWIFT",
    "OtherMiddleName": "MEDICAL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "10039 BISSONNET ST STE 114",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77036-7838",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-271-2331",
    "MailingAddressFaxNumber": "713-272-6280",
    "FirstLinePracticeLocationAddress": "10039 BISSONNET ST STE 114",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77036-7838",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-271-2331",
    "PracticeLocationAddressFaxNumber": "713-272-6280",
    "EnumerationDate": "10/03/2007",
    "LastUpdateDate": "10/03/2007",
    "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": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": "0062640",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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