miscsubjects
has profession · Profession · 1
Objects / Clinician

Clinician Stored source record

MAKSIM PERGAMENSHCHIKOV BA

27 SALVATORE DR, NOVATO, CA, 949496015

atlas:atm_npi_1972182137

Block 2005Block Group 2Census Tract 1041.04Marin CountyCaliforniaUnited States

What is stored

status
A
address
27 SALVATORE DR, NOVATO, CA, 949496015
npi
1972182137
taxonomy
Technician, Other
other names
[]
last updated
2021-04-05
taxonomy code
247200000X
all taxonomies
["Technician, Other"]
sole proprietor
YES
enumeration date
2021-04-05
enumeration type
NPI-1
practice locations
0

Additional fields are available in JSON.

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has profession

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The same object as JSON

Open JSON · Atlas source representation

Read fact fields
{
  "npi": "1972182137",
  "status": "A",
  "address": "27 SALVATORE DR, NOVATO, CA, 949496015",
  "license": null,
  "taxonomy": "Technician, Other",
  "other_names": [],
  "last_updated": "2021-04-05",
  "license_state": null,
  "taxonomy_code": "247200000X",
  "all_taxonomies": [
    "Technician, Other"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2021-04-05",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}