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1225443591 NPI number — HEALTHQUEST OF UNION COUNTY

NPI Number: 1225443591
Health Care Provider/Practitioner: HEALTHQUEST OF UNION COUNTY

Information about “1225443591” NPI (HEALTHQUEST OF UNION COUNTY) exists in 1225443591 in HTML format HTML  |  1225443591 in plain Text format TXT  |  1225443591 in PDF (Portable Document Format) PDF  |  1225443591 in an XML format XML  formats.

NPI Number : 1225443591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225443591",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HEALTHQUEST OF UNION COUNTY",
    "ParentOrgTIN": null,
    "OrgName": "HEALTHQUEST OF UNION COUNTY",
    "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": "415 E FRANKLIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28112-5601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-226-2050",
    "MailingAddressFaxNumber": "704-226-0712",
    "FirstLinePracticeLocationAddress": "2301 US HIGHWAY 74",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WADESBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-994-4720",
    "PracticeLocationAddressFaxNumber": "704-994-4721",
    "EnumerationDate": "06/25/2014",
    "LastUpdateDate": "06/25/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BLACKLEY",
    "AuthorizedOfficialFirstName": "EVELYN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPH",
    "AuthorizedOfficialTelephoneNumber": "704-226-2050",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251V00000X",
        "TaxonomyName": "Voluntary or Charitable Agency",
        "LicenseNumber": "12025",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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