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1164333654 NPI number — ALI MARIE POLLES QMHS-BA

NPI Number: 1164333654
Health Care Provider/Practitioner: ALI MARIE POLLES QMHS-BA

Information about “1164333654” NPI (ALI MARIE POLLES QMHS-BA) exists in 1164333654 in HTML format HTML  |  1164333654 in plain Text format TXT  |  1164333654 in PDF (Portable Document Format) PDF  |  1164333654 in an XML format XML  formats.

NPI Number : 1164333654 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164333654",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POLLES",
    "FirstName": "ALI",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "QMHS-BA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAMALEY",
    "OtherFirstName": "ALI",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "19 GRACE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHELBY",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44875-1511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-281-3716",
    "MailingAddressFaxNumber": "419-281-4605",
    "FirstLinePracticeLocationAddress": "2233 ROCKY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASHLAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44805-4701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-281-3716",
    "PracticeLocationAddressFaxNumber": "419-281-4605",
    "EnumerationDate": "09/15/2026",
    "LastUpdateDate": "09/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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