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1932389970 NPI number — YUMA INFECTIOUS DISEASES CENTER PLC

NPI Number: 1932389970
Health Care Provider/Practitioner: YUMA INFECTIOUS DISEASES CENTER PLC

Information about “1932389970” NPI (YUMA INFECTIOUS DISEASES CENTER PLC) exists in 1932389970 in HTML format HTML  |  1932389970 in plain Text format TXT  |  1932389970 in PDF (Portable Document Format) PDF  |  1932389970 in an XML format XML  formats.

NPI Number : 1932389970 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932389970",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YUMA INFECTIOUS DISEASES CENTER PLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2281 W 24TH ST",
    "SecondLineMailingAddress": "SUITE 11",
    "MailingAddressCityName": "YUMA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85364-6154",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-314-3201",
    "MailingAddressFaxNumber": "928-314-3202",
    "FirstLinePracticeLocationAddress": "2281 W 24TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 11",
    "PracticeLocationAddressCityName": "YUMA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85364-6154",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-314-3201",
    "PracticeLocationAddressFaxNumber": "928-314-3202",
    "EnumerationDate": "11/07/2007",
    "LastUpdateDate": "07/29/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ALEMU",
    "AuthorizedOfficialFirstName": "ENGIDA",
    "AuthorizedOfficialMiddleName": "BEKELE",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "928-314-3201",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RI0200X",
        "TaxonomyName": "Infectious Disease Physician",
        "LicenseNumber": "37473",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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