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1194530881 NPI number — HEAVENLEIGH HANDS

NPI Number: 1194530881
Health Care Provider/Practitioner: HEAVENLEIGH HANDS

Information about “1194530881” NPI (HEAVENLEIGH HANDS) exists in 1194530881 in HTML format HTML  |  1194530881 in plain Text format TXT  |  1194530881 in PDF (Portable Document Format) PDF  |  1194530881 in an XML format XML  formats.

NPI Number : 1194530881 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194530881",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEAVENLEIGH HANDS",
    "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": "2921 CARLISLE BLVD NE STE 111-112",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87110-2865",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-539-5290",
    "MailingAddressFaxNumber": "888-503-7522",
    "FirstLinePracticeLocationAddress": "3901 GEORGIA ST NE BLDG F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87110-1359",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-263-4252",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/10/2025",
    "LastUpdateDate": "02/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BURTON",
    "AuthorizedOfficialFirstName": "LAKEITHA",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "REVENUE CYCLE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "505-539-5290",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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