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1306174990 NPI number — AUTUMN RESEARCH

NPI Number: 1306174990
Health Care Provider/Practitioner: AUTUMN RESEARCH

Information about “1306174990” NPI (AUTUMN RESEARCH) exists in 1306174990 in HTML format HTML  |  1306174990 in plain Text format TXT  |  1306174990 in PDF (Portable Document Format) PDF  |  1306174990 in an XML format XML  formats.

NPI Number : 1306174990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306174990",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AUTUMN RESEARCH",
    "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": "5B S COMMONS",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01773-1114",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-699-5032",
    "MailingAddressFaxNumber": "781-259-3366",
    "FirstLinePracticeLocationAddress": "5B S COMMONS",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01773-1114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-699-5032",
    "PracticeLocationAddressFaxNumber": "781-259-3366",
    "EnumerationDate": "11/19/2009",
    "LastUpdateDate": "11/19/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LYNCH",
    "AuthorizedOfficialFirstName": "JULIE",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, MBA",
    "AuthorizedOfficialTelephoneNumber": "617-699-5032",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "278187",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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