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1306305891 NPI number — LEAP OF FAITH ACRES

NPI Number: 1306305891
Health Care Provider/Practitioner: LEAP OF FAITH ACRES

Information about “1306305891” NPI (LEAP OF FAITH ACRES) exists in 1306305891 in HTML format HTML  |  1306305891 in plain Text format TXT  |  1306305891 in PDF (Portable Document Format) PDF  |  1306305891 in an XML format XML  formats.

NPI Number : 1306305891 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306305891",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LEAP OF FAITH ACRES",
    "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": "14315 FAMILY TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUDSON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34669-3643",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-389-3056",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14315 FAMILY TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUDSON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34669-3643",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-389-3056",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/14/2019",
    "LastUpdateDate": "03/14/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHADE",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "727-389-3056",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational 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."
      }
    }
  }
}
                
            

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