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1699185371 NPI number — RAVID AVRAHAM PLLC

NPI Number: 1699185371
Health Care Provider/Practitioner: RAVID AVRAHAM PLLC

Information about “1699185371” NPI (RAVID AVRAHAM PLLC) exists in 1699185371 in HTML format HTML  |  1699185371 in plain Text format TXT  |  1699185371 in PDF (Portable Document Format) PDF  |  1699185371 in an XML format XML  formats.

NPI Number : 1699185371 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699185371",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RAVID AVRAHAM PLLC",
    "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": "2828 LEMMON AVE",
    "SecondLineMailingAddress": "APT 4154",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75204-3706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "940-284-3884",
    "MailingAddressFaxNumber": "877-442-9313",
    "FirstLinePracticeLocationAddress": "2828 LEMMON AVE",
    "SecondLinePracticeLocationAddress": "APT 4154",
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75204-3706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-284-3884",
    "PracticeLocationAddressFaxNumber": "877-442-9313",
    "EnumerationDate": "05/02/2014",
    "LastUpdateDate": "05/02/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AVRAHAM",
    "AuthorizedOfficialFirstName": "RAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "718-213-6543",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "P5928",
        "LicenseNumberStateCode": "TX",
        "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."
      }
    }
  }
}
                
            

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