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1700384492 NPI number — DAVUD MARK STANLEY II

NPI Number: 1700384492
Health Care Provider/Practitioner: DAVUD MARK STANLEY II

Information about “1700384492” NPI (DAVUD MARK STANLEY II) exists in 1700384492 in HTML format HTML  |  1700384492 in plain Text format TXT  |  1700384492 in PDF (Portable Document Format) PDF  |  1700384492 in an XML format XML  formats.

NPI Number : 1700384492 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700384492",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STANLEY",
    "FirstName": "DAVUD",
    "MiddleName": "MARK",
    "NamePrefix": null,
    "NameSuffix": "II",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "34101 FARENHOLT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92134-7000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-532-7968",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "34101 FARENHOLT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92134-7000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-532-7968",
    "PracticeLocationAddressFaxNumber": "619-532-8251",
    "EnumerationDate": "01/27/2018",
    "LastUpdateDate": "01/27/2018",
    "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": "1710I1002X",
        "TaxonomyName": "Independent Duty Corpsman",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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