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1679203913 NPI number — DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO

NPI Number: 1679203913
Health Care Provider/Practitioner: DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO

Information about “1679203913” NPI (DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO) exists in 1679203913 in HTML format HTML  |  1679203913 in plain Text format TXT  |  1679203913 in PDF (Portable Document Format) PDF  |  1679203913 in an XML format XML  formats.

NPI Number : 1679203913 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679203913",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO",
    "ParentOrgTIN": null,
    "OrgName": "DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "5550 77 CENTER DR STE 320",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28217-0739",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-295-4653",
    "MailingAddressFaxNumber": "704-295-4288",
    "FirstLinePracticeLocationAddress": "122 E KINDERTON WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BERMUDA RUN",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27006-7303",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-998-3300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/10/2022",
    "LastUpdateDate": "12/01/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOCK",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": "RAYLE",
    "AuthorizedOfficialTitle": "DIRECTOR OF BILLING",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "704-295-4653",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "204E00000X",
          "TaxonomyName": "Oral & Maxillofacial Surgery (D.M.D.)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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