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1588074272 NPI number — DR. MATT SMITH

NPI Number: 1588074272
Health Care Provider/Practitioner: DR. MATT SMITH

Information about “1588074272” NPI (DR. MATT SMITH) exists in 1588074272 in HTML format HTML  |  1588074272 in plain Text format TXT  |  1588074272 in PDF (Portable Document Format) PDF  |  1588074272 in an XML format XML  formats.

NPI Number : 1588074272 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588074272",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "MATT",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "854 KALISTE SALOOM RD",
    "SecondLineMailingAddress": "SUITE C",
    "MailingAddressCityName": "LAFAYETTE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70508-4367",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "854 KALISTE SALOOM RD",
    "SecondLinePracticeLocationAddress": "SUITE C",
    "PracticeLocationAddressCityName": "LAFAYETTE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70508-4367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-232-3353",
    "PracticeLocationAddressFaxNumber": "337-232-9304",
    "EnumerationDate": "05/02/2014",
    "LastUpdateDate": "05/02/2014",
    "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": "1708",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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