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1033647219 NPI number — MANCARE MEDICAL TRANSPORTATION LLC

NPI Number: 1033647219
Health Care Provider/Practitioner: MANCARE MEDICAL TRANSPORTATION LLC

Information about “1033647219” NPI (MANCARE MEDICAL TRANSPORTATION LLC) exists in 1033647219 in HTML format HTML  |  1033647219 in plain Text format TXT  |  1033647219 in PDF (Portable Document Format) PDF  |  1033647219 in an XML format XML  formats.

NPI Number : 1033647219 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033647219",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MANCARE MEDICAL TRANSPORTATION LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "108 GOLD VALLEY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOCUST GROVE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22508",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-744-1020",
    "MailingAddressFaxNumber": "540-404-8254",
    "FirstLinePracticeLocationAddress": "108 GOLD VALLEY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOCUST GROVE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-744-1020",
    "PracticeLocationAddressFaxNumber": "540-404-8254",
    "EnumerationDate": "05/31/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OPARE",
    "AuthorizedOfficialFirstName": "EMMANUEL",
    "AuthorizedOfficialMiddleName": "OSEI",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "571-241-2493",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TR0400X",
          "TaxonomyName": "Rehabilitation Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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