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1992220750 NPI number — DANIEL AUSTIN DUCLOS PHARMD

NPI Number: 1992220750
Health Care Provider/Practitioner: DANIEL AUSTIN DUCLOS PHARMD

Information about “1992220750” NPI (DANIEL AUSTIN DUCLOS PHARMD) exists in 1992220750 in HTML format HTML  |  1992220750 in plain Text format TXT  |  1992220750 in PDF (Portable Document Format) PDF  |  1992220750 in an XML format XML  formats.

NPI Number : 1992220750 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992220750",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUCLOS",
    "FirstName": "DANIEL",
    "MiddleName": "AUSTIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1705 DOCK ST UNIT 313",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98402-3220",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "785-565-1277",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4818 POINT FOSDICK DR NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GIG HARBOR",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98335-1711",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-851-3175",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2017",
    "LastUpdateDate": "08/13/2017",
    "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": "PH60768130",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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