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1043759244 NPI number — THE EXTRAORDINARY KIDS FOUNDATION, INC

NPI Number: 1043759244
Health Care Provider/Practitioner: THE EXTRAORDINARY KIDS FOUNDATION, INC

Information about “1043759244” NPI (THE EXTRAORDINARY KIDS FOUNDATION, INC) exists in 1043759244 in HTML format HTML  |  1043759244 in plain Text format TXT  |  1043759244 in PDF (Portable Document Format) PDF  |  1043759244 in an XML format XML  formats.

NPI Number : 1043759244 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043759244",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE EXTRAORDINARY KIDS FOUNDATION, INC",
    "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": "6690 RAINWOOD COVE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE WORTH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33463-7448",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-379-5591",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1928 LAKE WORTH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE WORTH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33461-4228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-660-6741",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2017",
    "LastUpdateDate": "06/24/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GILZENE",
    "AuthorizedOfficialFirstName": "MADEAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "561-660-6741",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM3000X",
        "TaxonomyName": "Medically Fragile Infants and Children Day Care",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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