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1598156572 NPI number — CLEAN SMILES DENTAL HYGIENE PRACTICE OF CLAIRE FLECKLES AND VICKI HARR

NPI Number: 1598156572
Health Care Provider/Practitioner: CLEAN SMILES DENTAL HYGIENE PRACTICE OF CLAIRE FLECKLES AND VICKI HARR

Information about “1598156572” NPI (CLEAN SMILES DENTAL HYGIENE PRACTICE OF CLAIRE FLECKLES AND VICKI HARR) exists in 1598156572 in HTML format HTML  |  1598156572 in plain Text format TXT  |  1598156572 in PDF (Portable Document Format) PDF  |  1598156572 in an XML format XML  formats.

NPI Number : 1598156572 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598156572",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLEAN SMILES DENTAL HYGIENE PRACTICE OF CLAIRE FLECKLES AND VICKI HARR",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "229 TEWKSBURY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94801-3829",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-778-8182",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "229 TEWKSBURY AVE",
    "SecondLinePracticeLocationAddress": "A",
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94801-3829",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-778-8182",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/11/2015",
    "LastUpdateDate": "02/11/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRIS",
    "AuthorizedOfficialFirstName": "VICKI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PARTNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RDHAP",
    "AuthorizedOfficialTelephoneNumber": "510-778-8182",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "124Q00000X",
        "TaxonomyName": "Dental Hygienist",
        "LicenseNumber": "RDHAP42",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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