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1326535410 NPI number — HEALING HANDS OF NEBRASKA, PC

NPI Number: 1326535410
Health Care Provider/Practitioner: HEALING HANDS OF NEBRASKA, PC

Information about “1326535410” NPI (HEALING HANDS OF NEBRASKA, PC) exists in 1326535410 in HTML format HTML  |  1326535410 in plain Text format TXT  |  1326535410 in PDF (Portable Document Format) PDF  |  1326535410 in an XML format XML  formats.

NPI Number : 1326535410 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326535410",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEALING HANDS OF NEBRASKA, PC",
    "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": "PO BOX 460910",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PAPILLION",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68046-0910",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-370-9515",
    "MailingAddressFaxNumber": "402-227-8245",
    "FirstLinePracticeLocationAddress": "701 PINNACLE DR STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAPILLION",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68046-6228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-370-9515",
    "PracticeLocationAddressFaxNumber": "402-227-8245",
    "EnumerationDate": "04/16/2018",
    "LastUpdateDate": "10/10/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AGUILA",
    "AuthorizedOfficialFirstName": "DEMETRIO",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "402-370-8228",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "27722",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP3300X",
          "TaxonomyName": "Pain Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208200000X",
          "TaxonomyName": "Plastic Surgery Physician",
          "LicenseNumber": "27722",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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