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1104335017 NPI number — NINEHART AND ASSOCIATES LLC

NPI Number: 1104335017
Health Care Provider/Practitioner: NINEHART AND ASSOCIATES LLC

Information about “1104335017” NPI (NINEHART AND ASSOCIATES LLC) exists in 1104335017 in HTML format HTML  |  1104335017 in plain Text format TXT  |  1104335017 in PDF (Portable Document Format) PDF  |  1104335017 in an XML format XML  formats.

NPI Number : 1104335017 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104335017",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NINEHART AND ASSOCIATES LLC",
    "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": "6541 N BRAEBURN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53209-3323",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "333 W BROWN DEER RD STE M",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53217-2367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-446-5207",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/22/2017",
    "LastUpdateDate": "09/22/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAYLOR",
    "AuthorizedOfficialFirstName": "ANNE",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "OWNER/MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "414-412-6684",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0700X",
        "TaxonomyName": "Hearing and Speech Clinic/Center",
        "LicenseNumber": "060-1331",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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