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Objects / Healthcare Organization

Healthcare Organization Stored source record

TIMOTHY G BRICCA

1201 LARKSPUR LANDING CIR, STE A, LARKSPUR, CA, 949391807

atlas:atm_npi_1326318866

What is stored

phone
415-461-6060
status
A
address
1201 LARKSPUR LANDING CIR, STE A, LARKSPUR, CA, 949391807
npi
1326318866
license
30763
taxonomy
Dentist, General Practice
other names
[]
last updated
2011-12-30
license state
CA
taxonomy code
1223G0001X
all taxonomies
["Dentist, General Practice"]
enumeration date
2011-12-30
enumeration type
NPI-2
practice locations
0
authorized official
TIMOTHY BRICCA
organizational subpart
NO

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{
  "npi": "1326318866",
  "phone": "415-461-6060",
  "status": "A",
  "address": "1201 LARKSPUR LANDING CIR, STE A, LARKSPUR, CA, 949391807",
  "license": "30763",
  "taxonomy": "Dentist, General Practice",
  "other_names": [],
  "last_updated": "2011-12-30",
  "license_state": "CA",
  "taxonomy_code": "1223G0001X",
  "all_taxonomies": [
    "Dentist, General Practice"
  ],
  "enumeration_date": "2011-12-30",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "TIMOTHY BRICCA",
  "organizational_subpart": "NO"
}