Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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NPI 1386200129

Individual provider · NPI 1386200129 Deactivated

This NPI was deactivated on November 5, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1386200129 is listed in the national NPI registry.

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Record details

NPI number1386200129
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—