NPI Code Detail JSON Logo

1003246877 NPI number — ANELIME PROFESSIONAL MEDICAL MANAGEMENT LLC.

NPI Number: 1003246877
Health Care Provider/Practitioner: ANELIME PROFESSIONAL MEDICAL MANAGEMENT LLC.

Information about “1003246877” NPI (ANELIME PROFESSIONAL MEDICAL MANAGEMENT LLC.) exists in 1003246877 in HTML format HTML  |  1003246877 in plain Text format TXT  |  1003246877 in PDF (Portable Document Format) PDF  |  1003246877 in an XML format XML  formats.

NPI Number : 1003246877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003246877",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANELIME PROFESSIONAL MEDICAL MANAGEMENT LLC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9341 E MCKELLIPS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MESA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85207-2632",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-861-1002",
    "MailingAddressFaxNumber": "240-252-5668",
    "FirstLinePracticeLocationAddress": "660 S PINAL PKWY APT 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLORENCE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85132-9726",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-868-0250",
    "PracticeLocationAddressFaxNumber": "240-252-5668",
    "EnumerationDate": "11/15/2013",
    "LastUpdateDate": "12/09/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRAKELT",
    "AuthorizedOfficialFirstName": "IMELDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MBR",
    "AuthorizedOfficialTelephoneNumber": "480-861-1002",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": "00000",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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