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1932362498 NPI number — PETER T SCIARRINO DDS

NPI Number: 1932362498
Health Care Provider/Practitioner: PETER T SCIARRINO DDS

Information about “1932362498” NPI (PETER T SCIARRINO DDS) exists in 1932362498 in HTML format HTML  |  1932362498 in plain Text format TXT  |  1932362498 in PDF (Portable Document Format) PDF  |  1932362498 in an XML format XML  formats.

NPI Number : 1932362498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932362498",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCIARRINO",
    "FirstName": "PETER",
    "MiddleName": "T",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "209 W 5TH NORTH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUMMERVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29483-6511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "209 W 5TH NORTH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUMMERVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29483-6511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-873-3706",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/05/2008",
    "LastUpdateDate": "09/09/2008",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "0401411873",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "4512",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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