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1629337514 NPI number — FOZI OUSE ADEM PHARMD

NPI Number: 1629337514
Health Care Provider/Practitioner: FOZI OUSE ADEM PHARMD

Information about “1629337514” NPI (FOZI OUSE ADEM PHARMD) exists in 1629337514 in HTML format HTML  |  1629337514 in plain Text format TXT  |  1629337514 in PDF (Portable Document Format) PDF  |  1629337514 in an XML format XML  formats.

NPI Number : 1629337514 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629337514",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADEM",
    "FirstName": "FOZI",
    "MiddleName": "OUSE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ADEM",
    "OtherFirstName": "FOZI",
    "OtherMiddleName": "OUSE",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "40 SOUTH LINK DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COVINGTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30014",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-625-0230",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3140 TURNER HILL ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITHONIA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30038",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-323-8559",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2012",
    "LastUpdateDate": "05/11/2012",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RPH021538",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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