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1073806576 NPI number — BRIAN DESROCHES, INC.

NPI Number: 1073806576
Health Care Provider/Practitioner: BRIAN DESROCHES, INC.

Information about “1073806576” NPI (BRIAN DESROCHES, INC.) exists in 1073806576 in HTML format HTML  |  1073806576 in plain Text format TXT  |  1073806576 in PDF (Portable Document Format) PDF  |  1073806576 in an XML format XML  formats.

NPI Number : 1073806576 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073806576",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRIAN DESROCHES, INC.",
    "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": "2719 E MADISON ST",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98112-4752",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-323-6114",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2719 E MADISON ST",
    "SecondLinePracticeLocationAddress": "SUITE 300",
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98112-4752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-323-6114",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2011",
    "LastUpdateDate": "11/29/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DESROCHES",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "206-323-6114",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": "1459",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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