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1578504239 NPI number — RAYMOND OLIVAS III D.C.

NPI Number: 1578504239
Health Care Provider/Practitioner: RAYMOND OLIVAS III D.C.

Information about “1578504239” NPI (RAYMOND OLIVAS III D.C.) exists in 1578504239 in HTML format HTML  |  1578504239 in plain Text format TXT  |  1578504239 in PDF (Portable Document Format) PDF  |  1578504239 in an XML format XML  formats.

NPI Number : 1578504239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578504239",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLIVAS",
    "FirstName": "RAYMOND",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": "III",
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1341 W ROBINHOOD DR",
    "SecondLineMailingAddress": "SUITE A-7",
    "MailingAddressCityName": "STOCKTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95207-5515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-474-8383",
    "MailingAddressFaxNumber": "209-957-1555",
    "FirstLinePracticeLocationAddress": "1341 W ROBINHOOD DR",
    "SecondLinePracticeLocationAddress": "SUITE A-7",
    "PracticeLocationAddressCityName": "STOCKTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95207-5515",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-474-8383",
    "PracticeLocationAddressFaxNumber": "209-957-1555",
    "EnumerationDate": "06/10/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "DC0235610",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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