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1235578113 NPI number — CLOVER SYSTEMS LLC

NPI Number: 1235578113
Health Care Provider/Practitioner: CLOVER SYSTEMS LLC

Information about “1235578113” NPI (CLOVER SYSTEMS LLC) exists in 1235578113 in HTML format HTML  |  1235578113 in plain Text format TXT  |  1235578113 in PDF (Portable Document Format) PDF  |  1235578113 in an XML format XML  formats.

NPI Number : 1235578113 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235578113",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLOVER SYSTEMS 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": "2530 LIBERTY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76209-1541",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-227-2300",
    "MailingAddressFaxNumber": "214-224-0835",
    "FirstLinePracticeLocationAddress": "721 S INTERSTATE 35 E",
    "SecondLinePracticeLocationAddress": "SUITE #140",
    "PracticeLocationAddressCityName": "DENTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76205-8153",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-239-9202",
    "PracticeLocationAddressFaxNumber": "214-224-0835",
    "EnumerationDate": "06/24/2013",
    "LastUpdateDate": "06/24/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DARNER",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DC",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC, FASA",
    "AuthorizedOfficialTelephoneNumber": "214-227-2300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111NN0400X",
        "TaxonomyName": "Neurology Chiropractor",
        "LicenseNumber": "5958",
        "LicenseNumberStateCode": "TX",
        "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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