NPI Code Detail JSON Logo

1124688536 NPI number — HERE'S 2 LIFE

NPI Number: 1124688536
Health Care Provider/Practitioner: HERE'S 2 LIFE

Information about “1124688536” NPI (HERE'S 2 LIFE) exists in 1124688536 in HTML format HTML  |  1124688536 in plain Text format TXT  |  1124688536 in PDF (Portable Document Format) PDF  |  1124688536 in an XML format XML  formats.

NPI Number : 1124688536 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124688536",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HERE'S 2 LIFE",
    "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": "6023 RIDDLE WALK",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALEXANDRIA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22312-2773",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-624-3459",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6023 RIDDLE WALK",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22312-2773",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-624-3459",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2019",
    "LastUpdateDate": "06/18/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OWENS",
    "AuthorizedOfficialFirstName": "JULIAN",
    "AuthorizedOfficialMiddleName": "D.",
    "AuthorizedOfficialTitle": "CLINICAL/EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD, MPH",
    "AuthorizedOfficialTelephoneNumber": "703-624-3459",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251K00000X",
          "TaxonomyName": "Public Health or Welfare Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251300000X",
          "TaxonomyName": "Local Education Agency (LEA)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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