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1760810972 NPI number — MINUTE CLINIC

NPI Number: 1760810972
Health Care Provider/Practitioner: MINUTE CLINIC

Information about “1760810972” NPI (MINUTE CLINIC) exists in 1760810972 in HTML format HTML  |  1760810972 in plain Text format TXT  |  1760810972 in PDF (Portable Document Format) PDF  |  1760810972 in an XML format XML  formats.

NPI Number : 1760810972 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760810972",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MINUTE CLINIC",
    "ParentOrgTIN": null,
    "OrgName": "MINUTE CLINIC",
    "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": "323 CROMWELL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKY HILL",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06067-1801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-389-2727",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "323 CROMWELL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKY HILL",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06067-1801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "186-638-9272",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/24/2013",
    "LastUpdateDate": "02/05/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AGYEKUM",
    "AuthorizedOfficialFirstName": "KARREN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FAMILY NURSE PRACTITIONER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "18663892727",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "5531",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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