|
NPI,EntityTypeCode,ReplacementNPI,EmployerIdentificationNumberEIN,ProviderOrganizationNameLegalBusinessName,ProviderLastNameLegalName,ProviderFirstName,ProviderMiddleName,ProviderNamePrefixText,ProviderNameSuffixText,ProviderCredentialText,ProviderOtherOrganizationName,ProviderOtherOrganizationNameTypeCode,ProviderOtherLastName,ProviderOtherFirstName,ProviderOtherMiddleName,ProviderOtherNamePrefixText,ProviderOtherNameSuffixText,ProviderOtherCredentialText,ProviderOtherLastNameTypeCode,ProviderFirstLineBusinessMailingAddress,ProviderSecondLineBusinessMailingAddress,ProviderBusinessMailingAddressCityName,ProviderBusinessMailingAddressStateName,ProviderBusinessMailingAddressPostalCode,ProviderBusinessMailingAddressCountryCodeIfoutsideUS,ProviderBusinessMailingAddressTelephoneNumber,ProviderBusinessMailingAddressFaxNumber,ProviderFirstLineBusinessPracticeLocationAddress,ProviderSecondLineBusinessPracticeLocationAddress,ProviderBusinessPracticeLocationAddressCityName,ProviderBusinessPracticeLocationAddressStateName,ProviderBusinessPracticeLocationAddressPostalCode,ProviderBusinessPracticeLocationAddressCountryCodeIfoutsideUS,ProviderBusinessPracticeLocationAddressTelephoneNumber,ProviderBusinessPracticeLocationAddressFaxNumber,ProviderEnumerationDate,LastUpdateDate,NPIDeactivationReasonCode,NPIDeactivationDate,NPIReactivationDate,ProviderGenderCode,AuthorizedOfficialLastName,AuthorizedOfficialFirstName,AuthorizedOfficialMiddleName,AuthorizedOfficialTitleorPosition,AuthorizedOfficialTelephoneNumber,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch |
|
1689653768,1,,,,BESCO,TIMOTHY,ANDREW,MR.,,RN,,,,,,,,,,US NAVAL HOSPITAL,OSPEDALE MARINA VIA CONTRADO BOSCARIELLO,GRICIGNANO DI AVERSA,CE,81031,IT,0818116315,,US NAVAL HOSPITAL,OSPEDALE MARINA VIA CONTRADO BOSCARIELLO,GRICIGNANO DI AVERSA,CE,81031,IT,0818116315,,01/17/2006,07/08/2007,,,,M,,,,,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI,,163W00000X,4704230960,MI, |
|
1962827998,1,,,,ASENCIO,JASON,,,,"MS, RDN, CSOWM",,,,,,,,,,U.S. NAVAL HOSPITAL,VIA CONTRADA BOSCARIELLO,GRICIGNANO DI AVERSA,CE,81030,IT,,,U.S. NAVAL HOSPITAL,VIA CONTRADA BOSCARIELLO,GRICIGNANO DI AVERSA,CE,81030,IT,0818116000,,02/27/2014,03/17/2022,,,,M,,,,,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY,,133V00000X,876086,NY, |
|
1811556947,1,,,,BRUNO MACHADO,DAVY,,MR.,,M.D.,,,,,,,,,,"AVENIDA PINTO BANDEIRA, 635, AP 903",,FORTALEZA,CE,60811170,BR,,,3990 JOHN R,DEPARTMENT OF SURGERY,DETROIT,MI,48201,US,3135775009,3135775310,06/12/2019,07/21/2022,,,,M,,,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,, |
|
|