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1184089310 NPI number — EVAL-DOCS

NPI Number: 1184089310
Health Care Provider/Practitioner: EVAL-DOCS

Information about “1184089310” NPI (EVAL-DOCS) exists in 1184089310 in HTML format HTML  |  1184089310 in plain Text format TXT  |  1184089310 in PDF (Portable Document Format) PDF  |  1184089310 in an XML format XML  formats.

NPI Number : 1184089310 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184089310",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EVAL-DOCS",
    "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": "1520 NUTMEG PL",
    "SecondLineMailingAddress": "SUITE 260",
    "MailingAddressCityName": "COSTA MESA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92626-2501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "844-382-5362",
    "MailingAddressFaxNumber": "888-383-2162",
    "FirstLinePracticeLocationAddress": "1520 NUTMEG PL",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "COSTA MESA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92626-2501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-382-5362",
    "PracticeLocationAddressFaxNumber": "888-383-2162",
    "EnumerationDate": "12/14/2015",
    "LastUpdateDate": "12/14/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CATANZARITE",
    "AuthorizedOfficialFirstName": "JEFFREY",
    "AuthorizedOfficialMiddleName": "S.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "844-382-5362",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "202C00000X",
        "TaxonomyName": "Independent Medical Examiner Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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