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1598215493 NPI number — SUGAR PINE FAMILY MEDICINE P.C., PAUL SMITH, MD, ET AL

NPI Number: 1598215493
Health Care Provider/Practitioner: SUGAR PINE FAMILY MEDICINE P.C., PAUL SMITH, MD, ET AL

Information about “1598215493” NPI (SUGAR PINE FAMILY MEDICINE P.C., PAUL SMITH, MD, ET AL) exists in 1598215493 in HTML format HTML  |  1598215493 in plain Text format TXT  |  1598215493 in PDF (Portable Document Format) PDF  |  1598215493 in an XML format XML  formats.

NPI Number : 1598215493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598215493",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUGAR PINE FAMILY MEDICINE P.C., PAUL SMITH, MD, ET AL",
    "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": "5542 LONGLEY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENO",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89511-1886",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-321-1044",
    "MailingAddressFaxNumber": "775-851-6862",
    "FirstLinePracticeLocationAddress": "5542 LONGLEY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89511-1886",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-321-1044",
    "PracticeLocationAddressFaxNumber": "775-851-6862",
    "EnumerationDate": "10/04/2016",
    "LastUpdateDate": "10/28/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PHILLIPS",
    "AuthorizedOfficialFirstName": "KAREN",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "775-321-1044",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "8731",
        "LicenseNumberStateCode": "NV",
        "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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