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1205408945 NPI number — HEARTILY TOUCH, LLC

NPI Number: 1205408945
Health Care Provider/Practitioner: HEARTILY TOUCH, LLC

Information about “1205408945” NPI (HEARTILY TOUCH, LLC) exists in 1205408945 in HTML format HTML  |  1205408945 in plain Text format TXT  |  1205408945 in PDF (Portable Document Format) PDF  |  1205408945 in an XML format XML  formats.

NPI Number : 1205408945 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205408945",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEARTILY TOUCH, 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": "11314 SAGE CANYON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVERVIEW",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33578-9318",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-841-6404",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11314 SAGE CANYON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERVIEW",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33578-9318",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-841-6404",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2021",
    "LastUpdateDate": "07/13/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AGBEDE",
    "AuthorizedOfficialFirstName": "ENIOLA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "813-841-6404",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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