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1215434774 NPI number — CARMEL ALLERGY LLC

NPI Number: 1215434774
Health Care Provider/Practitioner: CARMEL ALLERGY LLC

Information about “1215434774” NPI (CARMEL ALLERGY LLC) exists in 1215434774 in HTML format HTML  |  1215434774 in plain Text format TXT  |  1215434774 in PDF (Portable Document Format) PDF  |  1215434774 in an XML format XML  formats.

NPI Number : 1215434774 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215434774",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CARMEL ALLERGY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12750 HORSEFERRY RD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMEL",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46032-7265",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-795-0707",
    "MailingAddressFaxNumber": "317-795-0706",
    "FirstLinePracticeLocationAddress": "12750 HORSEFERRY RD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMEL",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46032",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-795-0707",
    "PracticeLocationAddressFaxNumber": "317-564-4438",
    "EnumerationDate": "04/11/2018",
    "LastUpdateDate": "03/14/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WANG",
    "AuthorizedOfficialFirstName": "HELEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "317-795-0707",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207K00000X",
        "TaxonomyName": "Allergy & Immunology Physician",
        "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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