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1780826990 NPI number — MICHAEL MOAWAD

NPI Number: 1780826990
Health Care Provider/Practitioner: MICHAEL MOAWAD

Information about “1780826990” NPI (MICHAEL MOAWAD) exists in 1780826990 in HTML format HTML  |  1780826990 in plain Text format TXT  |  1780826990 in PDF (Portable Document Format) PDF  |  1780826990 in an XML format XML  formats.

NPI Number : 1780826990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780826990",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOAWAD",
    "FirstName": "MICHAEL",
    "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": "10735 RAVENNA RD STE J",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TWINSBURG",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44087-3107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-405-0501",
    "MailingAddressFaxNumber": "330-405-0504",
    "FirstLinePracticeLocationAddress": "10735 RAVENNA RD STE J",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TWINSBURG",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44087-3107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-405-0501",
    "PracticeLocationAddressFaxNumber": "330-405-0504",
    "EnumerationDate": "04/02/2009",
    "LastUpdateDate": "12/29/2014",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "03127663",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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