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1740288414 NPI number — MONTE ELVIN HARREL O.D.

NPI Number: 1740288414
Health Care Provider/Practitioner: MONTE ELVIN HARREL O.D.

Information about “1740288414” NPI (MONTE ELVIN HARREL O.D.) exists in 1740288414 in HTML format HTML  |  1740288414 in plain Text format TXT  |  1740288414 in PDF (Portable Document Format) PDF  |  1740288414 in an XML format XML  formats.

NPI Number : 1740288414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740288414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARREL",
    "FirstName": "MONTE",
    "MiddleName": "ELVIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1950 OLD GALLOWS RD STE 520",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIENNA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22182-3970",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-847-8899",
    "MailingAddressFaxNumber": "571-223-6780",
    "FirstLinePracticeLocationAddress": "4520 S HARVARD AVE",
    "SecondLinePracticeLocationAddress": "SUITE 135",
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74135-2925",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-745-9662",
    "PracticeLocationAddressFaxNumber": "918-745-9663",
    "EnumerationDate": "07/07/2005",
    "LastUpdateDate": "09/30/2021",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "2304",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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