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1699591990 NPI number — FERGIE SOMBAH

NPI Number: 1699591990
Health Care Provider/Practitioner: FERGIE SOMBAH

Information about “1699591990” NPI (FERGIE SOMBAH) exists in 1699591990 in HTML format HTML  |  1699591990 in plain Text format TXT  |  1699591990 in PDF (Portable Document Format) PDF  |  1699591990 in an XML format XML  formats.

NPI Number : 1699591990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699591990",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOMBAH",
    "FirstName": "FERGIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SOPUTAN",
    "OtherFirstName": "FIRGI",
    "OtherMiddleName": "ASTRILIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "278 WHITES BRIDGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STANDISH",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04084-5236",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-892-6766",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "278 WHITES BRIDGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STANDISH",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04084-5236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-892-6766",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/02/2024",
    "LastUpdateDate": "12/02/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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