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1083192215 NPI number — DCC, INC. DBA KIDNEY DIALYSIS AVOIDANCE PROGRAM

NPI Number: 1083192215
Health Care Provider/Practitioner: DCC, INC. DBA KIDNEY DIALYSIS AVOIDANCE PROGRAM

Information about “1083192215” NPI (DCC, INC. DBA KIDNEY DIALYSIS AVOIDANCE PROGRAM) exists in 1083192215 in HTML format HTML  |  1083192215 in plain Text format TXT  |  1083192215 in PDF (Portable Document Format) PDF  |  1083192215 in an XML format XML  formats.

NPI Number : 1083192215 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083192215",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "DCC, INC.",
    "ParentOrgTIN": null,
    "OrgName": "DCC, INC. DBA KIDNEY DIALYSIS AVOIDANCE PROGRAM",
    "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": "223 W JACKSON BLVD STE 604",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60606-6956",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-594-3117",
    "MailingAddressFaxNumber": "602-714-8853",
    "FirstLinePracticeLocationAddress": "223 W JACKSON BLVD STE 604",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60606-6956",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-594-3117",
    "PracticeLocationAddressFaxNumber": "602-714-8853",
    "EnumerationDate": "07/31/2018",
    "LastUpdateDate": "01/18/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NIELSEN",
    "AuthorizedOfficialFirstName": "KEA",
    "AuthorizedOfficialMiddleName": "INGEBORG",
    "AuthorizedOfficialTitle": "SR DIRECTOR, RISK MGMT & COMPLIANCE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "623-594-3117",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251B00000X",
        "TaxonomyName": "Case Management Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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