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1770582892 NPI number — NEAL H MALASHOCK OD

NPI Number: 1770582892
Health Care Provider/Practitioner: NEAL H MALASHOCK OD

Information about “1770582892” NPI (NEAL H MALASHOCK OD) exists in 1770582892 in HTML format HTML  |  1770582892 in plain Text format TXT  |  1770582892 in PDF (Portable Document Format) PDF  |  1770582892 in an XML format XML  formats.

NPI Number : 1770582892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770582892",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALASHOCK",
    "FirstName": "NEAL",
    "MiddleName": "H",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2445 BROADWAY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUINCY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62301-3257",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-228-6313",
    "MailingAddressFaxNumber": "217-641-0028",
    "FirstLinePracticeLocationAddress": "409 N 78TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OMAHA",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68114-3638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-391-6600",
    "PracticeLocationAddressFaxNumber": "402-393-6890",
    "EnumerationDate": "07/20/2005",
    "LastUpdateDate": "12/28/2017",
    "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": "859",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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