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1659415966 NPI number — RANDALL WAYNE SZUTZ DDS

NPI Number: 1659415966
Health Care Provider/Practitioner: RANDALL WAYNE SZUTZ DDS

Information about “1659415966” NPI (RANDALL WAYNE SZUTZ DDS) exists in 1659415966 in HTML format HTML  |  1659415966 in plain Text format TXT  |  1659415966 in PDF (Portable Document Format) PDF  |  1659415966 in an XML format XML  formats.

NPI Number : 1659415966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659415966",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SZUTZ",
    "FirstName": "RANDALL",
    "MiddleName": "WAYNE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "72775 FRANK SINATRA DR",
    "SecondLineMailingAddress": "STE B",
    "MailingAddressCityName": "RANCHO MIRAGE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92270-3229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-832-7915",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "74930 COUNTRY CLUB DR",
    "SecondLinePracticeLocationAddress": "STE# 510",
    "PracticeLocationAddressCityName": "PALM DESERT",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92260-1980",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-341-2599",
    "PracticeLocationAddressFaxNumber": "760-836-0808",
    "EnumerationDate": "02/19/2007",
    "LastUpdateDate": "03/10/2016",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "34430",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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