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1629453303 NPI number — ANANDKUMAR PANCHAL APRN

NPI Number: 1629453303
Health Care Provider/Practitioner: ANANDKUMAR PANCHAL APRN

Information about “1629453303” NPI (ANANDKUMAR PANCHAL APRN) exists in 1629453303 in HTML format HTML  |  1629453303 in plain Text format TXT  |  1629453303 in PDF (Portable Document Format) PDF  |  1629453303 in an XML format XML  formats.

NPI Number : 1629453303 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629453303",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANCHAL",
    "FirstName": "ANANDKUMAR",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6502 NURSERY DRIVE.,SUITE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VICTORIA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-750-6113",
    "MailingAddressFaxNumber": "361-575-6913",
    "FirstLinePracticeLocationAddress": "1380 RIVER BEND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75247-4914",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-743-6146",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/23/2015",
    "LastUpdateDate": "01/19/2024",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "AP128528",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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