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1811873714 NPI number — DYLAN CHRISTOPHER AUGUSTINE

NPI Number: 1811873714
Health Care Provider/Practitioner: DYLAN CHRISTOPHER AUGUSTINE

Information about “1811873714” NPI (DYLAN CHRISTOPHER AUGUSTINE) exists in 1811873714 in HTML format HTML  |  1811873714 in plain Text format TXT  |  1811873714 in PDF (Portable Document Format) PDF  |  1811873714 in an XML format XML  formats.

NPI Number : 1811873714 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811873714",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AUGUSTINE",
    "FirstName": "DYLAN",
    "MiddleName": "CHRISTOPHER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAMBERT",
    "OtherFirstName": "CLIFFORD",
    "OtherMiddleName": "CHRISTOPHER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1730 G ST APT 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68508-3734",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-730-7041",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "221 SUN VALLEY BLVD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68528-1576",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-261-4706",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2025",
    "LastUpdateDate": "08/14/2025",
    "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": "372600000X",
        "TaxonomyName": "Adult Companion",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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