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Healthcare Organization Stored source record

POTOMAC HEALTH MEDICAL OF CA PC

11 PIEDMONT ROAD, LARKSPUR, CA, 94939

atlas:atm_npi_1417672437

Block 2007Block Group 2Census Tract 1200.02Marin CountyCaliforniaUnited States

What is stored

phone
860-282-4128
status
A
address
11 PIEDMONT ROAD, LARKSPUR, CA, 94939
npi
1417672437
taxonomy
Specialist
other names
[]
last updated
2022-11-17
taxonomy code
174400000X
all taxonomies
["Orthopaedic Surgery","Specialist"]
enumeration date
2022-10-12
enumeration type
NPI-2
practice locations
0
authorized official
JAY KIMMEL
organizational subpart
NO

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The same object as JSON

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Read fact fields
{
  "npi": "1417672437",
  "phone": "860-282-4128",
  "status": "A",
  "address": "11 PIEDMONT ROAD, LARKSPUR, CA, 94939",
  "license": null,
  "taxonomy": "Specialist",
  "other_names": [],
  "last_updated": "2022-11-17",
  "license_state": null,
  "taxonomy_code": "174400000X",
  "all_taxonomies": [
    "Orthopaedic Surgery",
    "Specialist"
  ],
  "enumeration_date": "2022-10-12",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "JAY KIMMEL",
  "organizational_subpart": "NO"
}