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1700130317 NPI number — SAM'S CLUB HEARING CENTER #6365

NPI Number: 1700130317
Health Care Provider/Practitioner: SAM'S CLUB HEARING CENTER #6365

Information about “1700130317” NPI (SAM'S CLUB HEARING CENTER #6365) exists in 1700130317 in HTML format HTML  |  1700130317 in plain Text format TXT  |  1700130317 in PDF (Portable Document Format) PDF  |  1700130317 in an XML format XML  formats.

NPI Number : 1700130317 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700130317",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SAM'S CLUB HEARING CENTER #6365",
    "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": "970 HILTON HEIGHTS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTESVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22901-8393",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "434-978-1205",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "970 HILTON HEIGHTS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLOTTESVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22901-8393",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "434-978-1205",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2012",
    "LastUpdateDate": "11/05/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHITE",
    "AuthorizedOfficialFirstName": "FREDA",
    "AuthorizedOfficialMiddleName": "SUE",
    "AuthorizedOfficialTitle": "HEARING AID SPECIALIST",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "434-978-1205",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "305S00000X",
        "TaxonomyName": "Point of Service",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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