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1801894290 NPI number — MITCHELL E. STASHOWER M.D.

NPI Number: 1801894290
Health Care Provider/Practitioner: MITCHELL E. STASHOWER M.D.

Information about “1801894290” NPI (MITCHELL E. STASHOWER M.D.) exists in 1801894290 in HTML format HTML  |  1801894290 in plain Text format TXT  |  1801894290 in PDF (Portable Document Format) PDF  |  1801894290 in an XML format XML  formats.

NPI Number : 1801894290 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801894290",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STASHOWER",
    "FirstName": "MITCHELL",
    "MiddleName": "E.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3700 JOSEPH SIEWICK DR",
    "SecondLineMailingAddress": "SUITE 404",
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22033-1745",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-620-8900",
    "MailingAddressFaxNumber": "703-620-2288",
    "FirstLinePracticeLocationAddress": "3700 JOSEPH SIEWICK DR",
    "SecondLinePracticeLocationAddress": "SUITE 404",
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22033-1745",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-620-8900",
    "PracticeLocationAddressFaxNumber": "703-620-2288",
    "EnumerationDate": "07/11/2005",
    "LastUpdateDate": "11/20/2007",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "0101049818",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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