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1568982247 NPI number — SOUMAYA BADER DPM

NPI Number: 1568982247
Health Care Provider/Practitioner: SOUMAYA BADER DPM

Information about “1568982247” NPI (SOUMAYA BADER DPM) exists in 1568982247 in HTML format HTML  |  1568982247 in plain Text format TXT  |  1568982247 in PDF (Portable Document Format) PDF  |  1568982247 in an XML format XML  formats.

NPI Number : 1568982247 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568982247",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BADER",
    "FirstName": "SOUMAYA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BADR",
    "OtherFirstName": "SOUMAYA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2023 GREENFIELD LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALLEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75013-2964",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "632 CEDAR RD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESAPEAKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23322-8376",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-547-0123",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2017",
    "LastUpdateDate": "04/01/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213ES0131X",
        "TaxonomyName": "Foot Surgery Podiatrist",
        "LicenseNumber": "0103301296",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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