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1548652431 NPI number — IBRAHIM OMAR ZACHARIA SR.

NPI Number: 1548652431
Health Care Provider/Practitioner: IBRAHIM OMAR ZACHARIA SR.

Information about “1548652431” NPI (IBRAHIM OMAR ZACHARIA SR.) exists in 1548652431 in HTML format HTML  |  1548652431 in plain Text format TXT  |  1548652431 in PDF (Portable Document Format) PDF  |  1548652431 in an XML format XML  formats.

NPI Number : 1548652431 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548652431",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZACHARIA",
    "FirstName": "IBRAHIM",
    "MiddleName": "OMAR",
    "NamePrefix": null,
    "NameSuffix": "SR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1327 W SHERWIN AVE APT GB",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60626-2021",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-302-0336",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1327 W SHERWIN AVE APT GB",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60626-2021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-302-0336",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/02/2015",
    "LastUpdateDate": "03/02/2015",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": "472020968",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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