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1013733492 NPI number — UNITED WOUNDCARE INSTITUTE CONNECTICUT PLLC

NPI Number: 1013733492
Health Care Provider/Practitioner: UNITED WOUNDCARE INSTITUTE CONNECTICUT PLLC

Information about “1013733492” NPI (UNITED WOUNDCARE INSTITUTE CONNECTICUT PLLC) exists in 1013733492 in HTML format HTML  |  1013733492 in plain Text format TXT  |  1013733492 in PDF (Portable Document Format) PDF  |  1013733492 in an XML format XML  formats.

NPI Number : 1013733492 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013733492",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UNITED WOUNDCARE INSTITUTE CONNECTICUT PLLC",
    "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": "PO BOX 809370",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60680-9370",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-607-0037",
    "MailingAddressFaxNumber": "734-462-0344",
    "FirstLinePracticeLocationAddress": "1266 E MAIN ST STE 700R",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STAMFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06902-3507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-402-0202",
    "PracticeLocationAddressFaxNumber": "888-860-2960",
    "EnumerationDate": "12/02/2024",
    "LastUpdateDate": "12/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF REVENUE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-331-7908",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208M00000X",
        "TaxonomyName": "Hospitalist Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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