NPI Code Detail JSON Logo

1902464415 NPI number — TAKUYA SUZUKI ATC

NPI Number: 1902464415
Health Care Provider/Practitioner: TAKUYA SUZUKI ATC

Information about “1902464415” NPI (TAKUYA SUZUKI ATC) exists in 1902464415 in HTML format HTML  |  1902464415 in plain Text format TXT  |  1902464415 in PDF (Portable Document Format) PDF  |  1902464415 in an XML format XML  formats.

NPI Number : 1902464415 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902464415",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUZUKI",
    "FirstName": "TAKUYA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "400 JONES ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52142-9180",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-725-7748",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 JONES ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAYETTE",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52142-9180",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-725-7748",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2019",
    "LastUpdateDate": "10/29/2020",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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