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1598936536 NPI number — THE SHOE SMITH LLC

NPI Number: 1598936536
Health Care Provider/Practitioner: THE SHOE SMITH LLC

Information about “1598936536” NPI (THE SHOE SMITH LLC) exists in 1598936536 in HTML format HTML  |  1598936536 in plain Text format TXT  |  1598936536 in PDF (Portable Document Format) PDF  |  1598936536 in an XML format XML  formats.

NPI Number : 1598936536 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598936536",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE SHOE SMITH LLC",
    "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": "503 MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLIMANTIC",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06226-3143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-423-8873",
    "MailingAddressFaxNumber": "860-456-0373",
    "FirstLinePracticeLocationAddress": "503 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILLIMANTIC",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06226-3143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-423-8873",
    "PracticeLocationAddressFaxNumber": "860-456-0373",
    "EnumerationDate": "03/18/2008",
    "LastUpdateDate": "05/16/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WALKER",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "C PED",
    "AuthorizedOfficialTelephoneNumber": "860-423-8873",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335E00000X",
        "TaxonomyName": "Prosthetic/Orthotic Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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