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1952068413 NPI number — NINA BEKAS RPH

NPI Number: 1952068413
Health Care Provider/Practitioner: NINA BEKAS RPH

Information about “1952068413” NPI (NINA BEKAS RPH) exists in 1952068413 in HTML format HTML  |  1952068413 in plain Text format TXT  |  1952068413 in PDF (Portable Document Format) PDF  |  1952068413 in an XML format XML  formats.

NPI Number : 1952068413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952068413",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEKAS",
    "FirstName": "NINA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BEKAS",
    "OtherFirstName": "NINA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7622 REDCLIFF RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46256-3952",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-414-7449",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5835 W 10TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46224-6112",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-554-8963",
    "PracticeLocationAddressFaxNumber": "317-243-2516",
    "EnumerationDate": "11/19/2021",
    "LastUpdateDate": "11/19/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "26016001A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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