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1164947412 NPI number — ALL ABOUT MASSAGE AND WELLNESS, LLC

NPI Number: 1164947412
Health Care Provider/Practitioner: ALL ABOUT MASSAGE AND WELLNESS, LLC

Information about “1164947412” NPI (ALL ABOUT MASSAGE AND WELLNESS, LLC) exists in 1164947412 in HTML format HTML  |  1164947412 in plain Text format TXT  |  1164947412 in PDF (Portable Document Format) PDF  |  1164947412 in an XML format XML  formats.

NPI Number : 1164947412 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164947412",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALL ABOUT MASSAGE AND WELLNESS, LLC",
    "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": "501 VALLEYBROOK ROAD",
    "SecondLineMailingAddress": "SUITE 206",
    "MailingAddressCityName": "MCMURRAY",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15317-3428",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-420-7183",
    "MailingAddressFaxNumber": "412-731-4836",
    "FirstLinePracticeLocationAddress": "1112 S. BRADDOCK AVENUE",
    "SecondLinePracticeLocationAddress": "SUITE 301D",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-420-7183",
    "PracticeLocationAddressFaxNumber": "412-731-4836",
    "EnumerationDate": "08/08/2017",
    "LastUpdateDate": "08/08/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOWORTH KROB",
    "AuthorizedOfficialFirstName": "PATRICIA",
    "AuthorizedOfficialMiddleName": "LYNNE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "724-941-8835",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "CW012703",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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