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1962163063 NPI number — DAVID KEITH HAAS

NPI Number: 1962163063
Health Care Provider/Practitioner: DAVID KEITH HAAS

Information about “1962163063” NPI (DAVID KEITH HAAS) exists in 1962163063 in HTML format HTML  |  1962163063 in plain Text format TXT  |  1962163063 in PDF (Portable Document Format) PDF  |  1962163063 in an XML format XML  formats.

NPI Number : 1962163063 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962163063",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAAS",
    "FirstName": "DAVID",
    "MiddleName": "KEITH",
    "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": "12 DARE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POTTSTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19465-6601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-432-6209",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "802 NEW HOLLAND AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17602-2288",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-560-3782",
    "PracticeLocationAddressFaxNumber": "717-560-3787",
    "EnumerationDate": "01/01/2022",
    "LastUpdateDate": "01/01/2022",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "SP019972",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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