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1780220756 NPI number — CLARENCE JAMES ZIEGLER III MS PT

NPI Number: 1780220756
Health Care Provider/Practitioner: CLARENCE JAMES ZIEGLER III MS PT

Information about “1780220756” NPI (CLARENCE JAMES ZIEGLER III MS PT) exists in 1780220756 in HTML format HTML  |  1780220756 in plain Text format TXT  |  1780220756 in PDF (Portable Document Format) PDF  |  1780220756 in an XML format XML  formats.

NPI Number : 1780220756 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780220756",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZIEGLER",
    "FirstName": "CLARENCE",
    "MiddleName": "JAMES",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "MS PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27 HELMSFORD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENFIELD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14526-1971",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-747-7662",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2021 WINTON RD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14618-3957",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-784-6530",
    "PracticeLocationAddressFaxNumber": "585-341-2430",
    "EnumerationDate": "11/25/2019",
    "LastUpdateDate": "11/25/2019",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "024298",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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