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1821818386 NPI number — QUENTIN DONBOCH PA

NPI Number: 1821818386
Health Care Provider/Practitioner: QUENTIN DONBOCH PA

Information about “1821818386” NPI (QUENTIN DONBOCH PA) exists in 1821818386 in HTML format HTML  |  1821818386 in plain Text format TXT  |  1821818386 in PDF (Portable Document Format) PDF  |  1821818386 in an XML format XML  formats.

NPI Number : 1821818386 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821818386",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DONBOCH",
    "FirstName": "QUENTIN",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KLINGLER",
    "OtherFirstName": "QUENTIN",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 743070",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30374-3070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-560-4304",
    "MailingAddressFaxNumber": "864-560-4413",
    "FirstLinePracticeLocationAddress": "101 E WOOD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPARTANBURG",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29303-3040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-560-7025",
    "PracticeLocationAddressFaxNumber": "864-560-7388",
    "EnumerationDate": "10/10/2024",
    "LastUpdateDate": "01/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "5645",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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