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1578637112 NPI number — ROBERT BENJAMIN POWERS D.O.

NPI Number: 1578637112
Health Care Provider/Practitioner: ROBERT BENJAMIN POWERS D.O.

Information about “1578637112” NPI (ROBERT BENJAMIN POWERS D.O.) exists in 1578637112 in HTML format HTML  |  1578637112 in plain Text format TXT  |  1578637112 in PDF (Portable Document Format) PDF  |  1578637112 in an XML format XML  formats.

NPI Number : 1578637112 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578637112",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POWERS",
    "FirstName": "ROBERT",
    "MiddleName": "BENJAMIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5728 MAJOR BLVD",
    "SecondLineMailingAddress": "SUITE 528",
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32819-7945",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-352-2542",
    "MailingAddressFaxNumber": "407-352-2547",
    "FirstLinePracticeLocationAddress": "5728 MAJOR BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 528",
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32819-7945",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-352-2542",
    "PracticeLocationAddressFaxNumber": "407-352-2547",
    "EnumerationDate": "11/17/2006",
    "LastUpdateDate": "10/09/2020",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "OS 9766",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "OS9766",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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