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1063721926 NPI number — ANESTHESIA SERVICES AT VASCULAR INSTITUTE

NPI Number: 1063721926
Health Care Provider/Practitioner: ANESTHESIA SERVICES AT VASCULAR INSTITUTE

Information about “1063721926” NPI (ANESTHESIA SERVICES AT VASCULAR INSTITUTE) exists in 1063721926 in HTML format HTML  |  1063721926 in plain Text format TXT  |  1063721926 in PDF (Portable Document Format) PDF  |  1063721926 in an XML format XML  formats.

NPI Number : 1063721926 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063721926",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANESTHESIA SERVICES AT VASCULAR INSTITUTE",
    "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 661495",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BIRMINGHAM",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35266-1495",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-979-5882",
    "MailingAddressFaxNumber": "205-979-1248",
    "FirstLinePracticeLocationAddress": "1112 GENE REED RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35235-2405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-836-2942",
    "PracticeLocationAddressFaxNumber": "205-836-2946",
    "EnumerationDate": "09/27/2010",
    "LastUpdateDate": "08/21/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHITLEY",
    "AuthorizedOfficialFirstName": "ATALIE",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CRNA",
    "AuthorizedOfficialTelephoneNumber": "205-243-3789",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "1-097248",
        "LicenseNumberStateCode": "AL",
        "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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