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1720146665 NPI number — ASA ANDREW MD, DC, ND

NPI Number: 1720146665
Health Care Provider/Practitioner: ASA ANDREW MD, DC, ND

Information about “1720146665” NPI (ASA ANDREW MD, DC, ND) exists in 1720146665 in HTML format HTML  |  1720146665 in plain Text format TXT  |  1720146665 in PDF (Portable Document Format) PDF  |  1720146665 in an XML format XML  formats.

NPI Number : 1720146665 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720146665",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDREW",
    "FirstName": "ASA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, DC, ND",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ANDREW",
    "OtherFirstName": "ASA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD, DC, ND",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3906 US HIGHWAY 98 W STE 1302",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ROSA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32459-4026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-474-4933",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3906 US HIGHWAY 98 W STE 1302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ROSA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32459-4026",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-474-4933",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "06/03/2025",
    "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": "174H00000X",
        "TaxonomyName": "Health Educator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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