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1013171479 NPI number — SMARTWAY,INC

NPI Number: 1013171479
Health Care Provider/Practitioner: SMARTWAY,INC

Information about “1013171479” NPI (SMARTWAY,INC) exists in 1013171479 in HTML format HTML  |  1013171479 in plain Text format TXT  |  1013171479 in PDF (Portable Document Format) PDF  |  1013171479 in an XML format XML  formats.

NPI Number : 1013171479 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013171479",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SMARTWAY,INC",
    "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": "460 E CARSON PLAZA DR STE 118",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARSON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90746-3285",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-809-9946",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "460 E CARSON PLAZA DR STE 118",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARSON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90746-3285",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-809-9946",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/15/2008",
    "LastUpdateDate": "07/15/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OYEGOKE",
    "AuthorizedOfficialFirstName": "EZEKIEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-562-0605",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251V00000X",
        "TaxonomyName": "Voluntary or Charitable Agency",
        "LicenseNumber": "2829468",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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