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1669671004 NPI number — DONALD W HAINES DDS

NPI Number: 1669671004
Health Care Provider/Practitioner: DONALD W HAINES DDS

Information about “1669671004” NPI (DONALD W HAINES DDS) exists in 1669671004 in HTML format HTML  |  1669671004 in plain Text format TXT  |  1669671004 in PDF (Portable Document Format) PDF  |  1669671004 in an XML format XML  formats.

NPI Number : 1669671004 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669671004",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAINES",
    "FirstName": "DONALD",
    "MiddleName": "W",
    "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": "PO BOX 318",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOSCOW",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18444",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "570-842-4515",
    "MailingAddressFaxNumber": "570-842-4515",
    "FirstLinePracticeLocationAddress": "921 DRINKER TURNPIKE",
    "SecondLinePracticeLocationAddress": "SUITE 19",
    "PracticeLocationAddressCityName": "COVENTRY TOWNSHIP",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18444",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-842-4515",
    "PracticeLocationAddressFaxNumber": "570-842-4515",
    "EnumerationDate": "07/16/2007",
    "LastUpdateDate": "12/16/2014",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "DSO 23432L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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