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1871597625 NPI number — JACEK S SLOWIKOWSKI M.D.

NPI Number: 1871597625
Health Care Provider/Practitioner: JACEK S SLOWIKOWSKI M.D.

Information about “1871597625” NPI (JACEK S SLOWIKOWSKI M.D.) exists in 1871597625 in HTML format HTML  |  1871597625 in plain Text format TXT  |  1871597625 in PDF (Portable Document Format) PDF  |  1871597625 in an XML format XML  formats.

NPI Number : 1871597625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871597625",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SLOWIKOWSKI",
    "FirstName": "JACEK",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2001 CRYSTAL SPRING AVE SW",
    "SecondLineMailingAddress": "STE 300",
    "MailingAddressCityName": "ROANOKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24014-2465",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-342-7941",
    "MailingAddressFaxNumber": "540-345-8423",
    "FirstLinePracticeLocationAddress": "2001 CRYSTAL SPRING AVE SW",
    "SecondLinePracticeLocationAddress": "STE 300",
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24014-2465",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-342-7941",
    "PracticeLocationAddressFaxNumber": "540-345-8423",
    "EnumerationDate": "06/09/2005",
    "LastUpdateDate": "02/11/2019",
    "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": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "0101047687",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "010147687",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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