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1669965976 NPI number — SAMUEL HARDY THUESON MD

NPI Number: 1669965976
Health Care Provider/Practitioner: SAMUEL HARDY THUESON MD

Information about “1669965976” NPI (SAMUEL HARDY THUESON MD) exists in 1669965976 in HTML format HTML  |  1669965976 in plain Text format TXT  |  1669965976 in PDF (Portable Document Format) PDF  |  1669965976 in an XML format XML  formats.

NPI Number : 1669965976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669965976",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THUESON",
    "FirstName": "SAMUEL",
    "MiddleName": "HARDY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "31ST MEDICAL GROUP",
    "SecondLineMailingAddress": "OPC 103 BOX 49",
    "MailingAddressCityName": "APO",
    "MailingAddressStateName": "AE",
    "MailingAddressPostalCode": "09604-0049",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "31ST MEDICAL GROUP",
    "SecondLinePracticeLocationAddress": "VIA PEDEMONTE, BLDG 121",
    "PracticeLocationAddressCityName": "BASE AMERICANA",
    "PracticeLocationAddressStateName": "AVIANO",
    "PracticeLocationAddressPostalCode": "33081",
    "PracticeLocationAddressCountryCode": "IT",
    "PracticeLocationAddressTelephoneNumber": null,
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/11/2018",
    "LastUpdateDate": "10/13/2026",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "0101267947",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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