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1992166821 NPI number — NICHOLAS W HAWLEY

NPI Number: 1992166821
Health Care Provider/Practitioner: NICHOLAS W HAWLEY

Information about “1992166821” NPI (NICHOLAS W HAWLEY) exists in 1992166821 in HTML format HTML  |  1992166821 in plain Text format TXT  |  1992166821 in PDF (Portable Document Format) PDF  |  1992166821 in an XML format XML  formats.

NPI Number : 1992166821 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992166821",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAWLEY",
    "FirstName": "NICHOLAS",
    "MiddleName": "W",
    "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": "3301 W FOREST HOME AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53215-2843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-389-2233",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3003 W GOOD HOPE RD # BCM320",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53209-2042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-352-3100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/20/2016",
    "LastUpdateDate": "12/02/2021",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "71430",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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