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1306793757 NPI number — CUREMED ROOT CAUSE PAIN RELIEF FUNCTIONAL

NPI Number: 1306793757
Health Care Provider/Practitioner: CUREMED ROOT CAUSE PAIN RELIEF FUNCTIONAL

Information about “1306793757” NPI (CUREMED ROOT CAUSE PAIN RELIEF FUNCTIONAL) exists in 1306793757 in HTML format HTML  |  1306793757 in plain Text format TXT  |  1306793757 in PDF (Portable Document Format) PDF  |  1306793757 in an XML format XML  formats.

NPI Number : 1306793757 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306793757",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CUREMED ROOT CAUSE PAIN RELIEF FUNCTIONAL",
    "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": "8610 DEER MEADOW BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STREETSBORO",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44241-5868",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-357-8977",
    "MailingAddressFaxNumber": "216-500-3114",
    "FirstLinePracticeLocationAddress": "27600 CHAGRIN BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEACHWOOD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44122-4449",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-357-8977",
    "PracticeLocationAddressFaxNumber": "216-500-3114",
    "EnumerationDate": "03/13/2026",
    "LastUpdateDate": "03/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAYLOR",
    "AuthorizedOfficialFirstName": "ELAINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "216-357-8977",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0300X",
          "TaxonomyName": "Geriatric Medicine (Internal Medicine) Physician",
          "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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