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1275311359 NPI number — CLARKSON MOBILITY 24/7/365 LLC.

NPI Number: 1275311359
Health Care Provider/Practitioner: CLARKSON MOBILITY 24/7/365 LLC.

Information about “1275311359” NPI (CLARKSON MOBILITY 24/7/365 LLC.) exists in 1275311359 in HTML format HTML  |  1275311359 in plain Text format TXT  |  1275311359 in PDF (Portable Document Format) PDF  |  1275311359 in an XML format XML  formats.

NPI Number : 1275311359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275311359",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLARKSON MOBILITY 24/7/365 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": "5316 REO AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH BEND",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46619-1341",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "574-343-9969",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5316 REO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH BEND",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46619-1341",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "574-343-9969",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2023",
    "LastUpdateDate": "10/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLARKSON",
    "AuthorizedOfficialFirstName": "MARSHALL",
    "AuthorizedOfficialMiddleName": "SHAUN EMORY",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OWNER",
    "AuthorizedOfficialTelephoneNumber": "574-387-9160",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343800000X",
        "TaxonomyName": "Secured Medical Transport (VAN)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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