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1861015216 NPI number — ANDREW MONTGOMERY SIMCOX X

NPI Number: 1861015216
Health Care Provider/Practitioner: ANDREW MONTGOMERY SIMCOX X

Information about “1861015216” NPI (ANDREW MONTGOMERY SIMCOX X) exists in 1861015216 in HTML format HTML  |  1861015216 in plain Text format TXT  |  1861015216 in PDF (Portable Document Format) PDF  |  1861015216 in an XML format XML  formats.

NPI Number : 1861015216 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861015216",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIMCOX",
    "FirstName": "ANDREW",
    "MiddleName": "MONTGOMERY",
    "NamePrefix": null,
    "NameSuffix": "X",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1882 CREEK WOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DUBUQUE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52003-7605",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "563-231-3058",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "UNIFIED COMMUNITY SERVICES",
    "SecondLinePracticeLocationAddress": "200 WEST ALONA LANE",
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53813",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-723-6357",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/20/2020",
    "LastUpdateDate": "05/20/2020",
    "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": "103TF0200X",
        "TaxonomyName": "Forensic Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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