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1790387348 NPI number — ANTONIO CHRISTOPHER BOYD JR. SUBMARINE IDC

NPI Number: 1790387348
Health Care Provider/Practitioner: ANTONIO CHRISTOPHER BOYD JR. SUBMARINE IDC

Information about “1790387348” NPI (ANTONIO CHRISTOPHER BOYD JR. SUBMARINE IDC) exists in 1790387348 in HTML format HTML  |  1790387348 in plain Text format TXT  |  1790387348 in PDF (Portable Document Format) PDF  |  1790387348 in an XML format XML  formats.

NPI Number : 1790387348 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790387348",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOYD",
    "FirstName": "ANTONIO",
    "MiddleName": "CHRISTOPHER",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "SUBMARINE IDC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1811 TEALWOOD LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23320-0638",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9168 2ND ST STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORFOLK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23511-2328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-308-8569",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/09/2020",
    "LastUpdateDate": "11/09/2020",
    "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": "1710I1002X",
        "TaxonomyName": "Independent Duty Corpsman",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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