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1225684319 NPI number — BOYS & GIRLS CLUBS OF SOUTHERN NEVADA

NPI Number: 1225684319
Health Care Provider/Practitioner: BOYS & GIRLS CLUBS OF SOUTHERN NEVADA

Information about “1225684319” NPI (BOYS & GIRLS CLUBS OF SOUTHERN NEVADA) exists in 1225684319 in HTML format HTML  |  1225684319 in plain Text format TXT  |  1225684319 in PDF (Portable Document Format) PDF  |  1225684319 in an XML format XML  formats.

NPI Number : 1225684319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225684319",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BOYS & GIRLS CLUBS OF SOUTHERN NEVADA",
    "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": "2850 LINDELL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89146-6815",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-367-2582",
    "MailingAddressFaxNumber": "702-932-0647",
    "FirstLinePracticeLocationAddress": "2850 LINDELL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89146-6815",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-367-2582",
    "PracticeLocationAddressFaxNumber": "702-932-0647",
    "EnumerationDate": "08/14/2019",
    "LastUpdateDate": "08/14/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SPEARS",
    "AuthorizedOfficialFirstName": "ALMA",
    "AuthorizedOfficialMiddleName": "ROSA",
    "AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS., M.ED., MFT-I",
    "AuthorizedOfficialTelephoneNumber": "702-367-2582",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "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."
        },
        {
          "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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