Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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NPI 1760323182

Individual provider · NPI 1760323182 Deactivated

This NPI was deactivated on September 19, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1760323182 is listed in the national NPI registry.

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Record details

NPI number1760323182
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—