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

NPI 1700926102

Individual provider · NPI 1700926102 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 1700926102 is listed in the national NPI registry.

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Record details

NPI number1700926102
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—