Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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NPI 1568436681

Individual provider · NPI 1568436681 Deactivated

This NPI was deactivated on November 6, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1568436681 is listed in the national NPI registry.

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Record details

NPI number1568436681
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—