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1871484436 NPI number — HANAN M. MDEWAY OD

NPI Number: 1871484436
Health Care Provider/Practitioner: HANAN M. MDEWAY OD

Information about “1871484436” NPI (HANAN M. MDEWAY OD) exists in 1871484436 in HTML format HTML  |  1871484436 in plain Text format TXT  |  1871484436 in PDF (Portable Document Format) PDF  |  1871484436 in an XML format XML  formats.

NPI Number : 1871484436 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871484436",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MDEWAY",
    "FirstName": "HANAN",
    "MiddleName": "M.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 45923",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21297-5923",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-969-0392",
    "MailingAddressFaxNumber": "804-658-0582",
    "FirstLinePracticeLocationAddress": "7347 BELL CREEK RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MECHANICSVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23111-3504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-746-5245",
    "PracticeLocationAddressFaxNumber": "804-249-4984",
    "EnumerationDate": "07/11/2025",
    "LastUpdateDate": "10/16/2025",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "0618003554",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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