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1851467195 NPI number — GEORGE A HANKERSON DDS

NPI Number: 1851467195
Health Care Provider/Practitioner: GEORGE A HANKERSON DDS

Information about “1851467195” NPI (GEORGE A HANKERSON DDS) exists in 1851467195 in HTML format HTML  |  1851467195 in plain Text format TXT  |  1851467195 in PDF (Portable Document Format) PDF  |  1851467195 in an XML format XML  formats.

NPI Number : 1851467195 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851467195",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANKERSON",
    "FirstName": "GEORGE",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15974 HYLAND POINTE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "APPLE VALLEY",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55124-7063",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-440-5100",
    "MailingAddressFaxNumber": "952-440-5140",
    "FirstLinePracticeLocationAddress": "7629 EGAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAVAGE",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55378-2208",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-440-5100",
    "PracticeLocationAddressFaxNumber": "952-440-5140",
    "EnumerationDate": "11/28/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "1223P0221X",
        "TaxonomyName": "Pediatric Dentistry",
        "LicenseNumber": "7309",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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