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1932483740 NPI number — MICHAEL D. DECKER D.PH.

NPI Number: 1932483740
Health Care Provider/Practitioner: MICHAEL D. DECKER D.PH.

Information about “1932483740” NPI (MICHAEL D. DECKER D.PH.) exists in 1932483740 in HTML format HTML  |  1932483740 in plain Text format TXT  |  1932483740 in PDF (Portable Document Format) PDF  |  1932483740 in an XML format XML  formats.

NPI Number : 1932483740 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932483740",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DECKER",
    "FirstName": "MICHAEL",
    "MiddleName": "D.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6712 CYPRESS HOLW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDMOND",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73034-1300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-210-9021",
    "MailingAddressFaxNumber": "405-359-3612",
    "FirstLinePracticeLocationAddress": "1400 E 2ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDMOND",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73034-5321",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-216-9672",
    "PracticeLocationAddressFaxNumber": "405-216-9660",
    "EnumerationDate": "09/29/2011",
    "LastUpdateDate": "09/29/2011",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "11839",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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