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This NPI has been deactivated
Deactivated records are restricted. By CMS policy, only the NPI number, deactivation date, and reason are shown. No provider name, location, or other detail is published.
Deactivated NPI record
NPI number
1659114262
Deactivation date

Source: CMS National Plan and Provider Enumeration System (NPPES). A deactivated NPI is not reassigned and is not valid for use in transactions. For the authoritative status, consult the CMS NPPES Public Registry.

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