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1043162027 NPI number — SKI TOWN IV LLC

NPI Number: 1043162027
Health Care Provider/Practitioner: SKI TOWN IV LLC

Information about “1043162027” NPI (SKI TOWN IV LLC) exists in 1043162027 in HTML format HTML  |  1043162027 in plain Text format TXT  |  1043162027 in PDF (Portable Document Format) PDF  |  1043162027 in an XML format XML  formats.

NPI Number : 1043162027 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043162027",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SKI TOWN IV 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": "PO BOX 15088",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85060-5088",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-742-7889",
    "MailingAddressFaxNumber": "970-742-7890",
    "FirstLinePracticeLocationAddress": "533 E HOPKINS AVE STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASPEN",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81611-2937",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-742-7889",
    "PracticeLocationAddressFaxNumber": "970-742-7890",
    "EnumerationDate": "02/11/2026",
    "LastUpdateDate": "02/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BHATNAGAR",
    "AuthorizedOfficialFirstName": "AJAY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER AND PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "970-742-7889",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QI0500X",
        "TaxonomyName": "Infusion Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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