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1639249956 NPI number — J S TODER

NPI Number: 1639249956
Health Care Provider/Practitioner: J S TODER

Information about “1639249956” NPI (J S TODER) exists in 1639249956 in HTML format HTML  |  1639249956 in plain Text format TXT  |  1639249956 in PDF (Portable Document Format) PDF  |  1639249956 in an XML format XML  formats.

NPI Number : 1639249956 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639249956",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TODER",
    "FirstName": "J",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TODER",
    "OtherFirstName": "J SCOTT",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 6300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PROVIDENCE",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02940-6300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-421-6011",
    "MailingAddressFaxNumber": "401-421-9088",
    "FirstLinePracticeLocationAddress": "1524 ATWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSTON",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02919-3228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-421-6011",
    "PracticeLocationAddressFaxNumber": "401-421-9088",
    "EnumerationDate": "11/08/2006",
    "LastUpdateDate": "12/03/2007",
    "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": "207RR0500X",
        "TaxonomyName": "Rheumatology Physician",
        "LicenseNumber": "MD6321",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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