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1639696560 NPI number — NICHOLAS JOSHUA MILLER

NPI Number: 1639696560
Health Care Provider/Practitioner: NICHOLAS JOSHUA MILLER

Information about “1639696560” NPI (NICHOLAS JOSHUA MILLER) exists in 1639696560 in HTML format HTML  |  1639696560 in plain Text format TXT  |  1639696560 in PDF (Portable Document Format) PDF  |  1639696560 in an XML format XML  formats.

NPI Number : 1639696560 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639696560",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "NICHOLAS",
    "MiddleName": "JOSHUA",
    "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": "16528 E DESMET CT STE C1301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE VALLEY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99216-3522",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-926-6400",
    "MailingAddressFaxNumber": "509-926-6574",
    "FirstLinePracticeLocationAddress": "16528 E DESMET CT STE C1301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99216-3522",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-926-6400",
    "PracticeLocationAddressFaxNumber": "509-926-6574",
    "EnumerationDate": "08/22/2017",
    "LastUpdateDate": "07/21/2022",
    "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": "PH60757039",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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