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1639288491 NPI number — JEAN CHANG-LOWE D.D.S.

NPI Number: 1639288491
Health Care Provider/Practitioner: JEAN CHANG-LOWE D.D.S.

Information about “1639288491” NPI (JEAN CHANG-LOWE D.D.S.) exists in 1639288491 in HTML format HTML  |  1639288491 in plain Text format TXT  |  1639288491 in PDF (Portable Document Format) PDF  |  1639288491 in an XML format XML  formats.

NPI Number : 1639288491 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639288491",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHANG-LOWE",
    "FirstName": "JEAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "536 HEALTH BOULEVARD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAYTONA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32114",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-255-3644",
    "MailingAddressFaxNumber": "386-255-7709",
    "FirstLinePracticeLocationAddress": "536 HEALTH BOULEVARD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYTONA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-255-3644",
    "PracticeLocationAddressFaxNumber": "386-255-7709",
    "EnumerationDate": "08/29/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "14273",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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