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1083894406 NPI number — SPECIALIZED ORTHOPEDIC SOLUTIONS, INC

NPI Number: 1083894406
Health Care Provider/Practitioner: SPECIALIZED ORTHOPEDIC SOLUTIONS, INC

Information about “1083894406” NPI (SPECIALIZED ORTHOPEDIC SOLUTIONS, INC) exists in 1083894406 in HTML format HTML  |  1083894406 in plain Text format TXT  |  1083894406 in PDF (Portable Document Format) PDF  |  1083894406 in an XML format XML  formats.

NPI Number : 1083894406 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083894406",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPECIALIZED ORTHOPEDIC SOLUTIONS, 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": "14431 VENTURA BLVD",
    "SecondLineMailingAddress": "SUITE 290",
    "MailingAddressCityName": "SHERMAN OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91423-2606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-280-3147",
    "MailingAddressFaxNumber": "323-978-2479",
    "FirstLinePracticeLocationAddress": "9259 ETON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHATSWORTH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91311-5808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-280-3147",
    "PracticeLocationAddressFaxNumber": "323-978-1922",
    "EnumerationDate": "11/14/2007",
    "LastUpdateDate": "02/21/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VONDERHAAR",
    "AuthorizedOfficialFirstName": "JEFFREY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT / CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-280-3147",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BC3200X",
        "TaxonomyName": "Customized Equipment (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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