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1922055177 NPI number — PAUL KUPCHA MD

NPI Number: 1922055177
Health Care Provider/Practitioner: PAUL KUPCHA MD

Information about “1922055177” NPI (PAUL KUPCHA MD) exists in 1922055177 in HTML format HTML  |  1922055177 in plain Text format TXT  |  1922055177 in PDF (Portable Document Format) PDF  |  1922055177 in an XML format XML  formats.

NPI Number : 1922055177 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922055177",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KUPCHA",
    "FirstName": "PAUL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1941 LIMESTONE RD",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19808",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-633-3555",
    "MailingAddressFaxNumber": "302-633-3559",
    "FirstLinePracticeLocationAddress": "1941 LIMESTONE RD",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-633-3555",
    "PracticeLocationAddressFaxNumber": "302-633-3559",
    "EnumerationDate": "05/30/2006",
    "LastUpdateDate": "05/06/2025",
    "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": "207XX0004X",
          "TaxonomyName": "Orthopaedic Foot and Ankle Surgery Physician",
          "LicenseNumber": "C10004562",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "C10004562",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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