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1558834622 NPI number — MARK WILLIAM ACTON DO

NPI Number: 1558834622
Health Care Provider/Practitioner: MARK WILLIAM ACTON DO

Information about “1558834622” NPI (MARK WILLIAM ACTON DO) exists in 1558834622 in HTML format HTML  |  1558834622 in plain Text format TXT  |  1558834622 in PDF (Portable Document Format) PDF  |  1558834622 in an XML format XML  formats.

NPI Number : 1558834622 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558834622",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ACTON",
    "FirstName": "MARK",
    "MiddleName": "WILLIAM",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4427 KATHERINE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHERMAN OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91423-2706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6765 LANKERSHIM BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH HOLLYWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91606-1614",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-982-0076",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/10/2019",
    "LastUpdateDate": "01/10/2019",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "34182TLG",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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