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1326628322 NPI number — ADVANCED MOBILE PEDIATRICS PLCC

NPI Number: 1326628322
Health Care Provider/Practitioner: ADVANCED MOBILE PEDIATRICS PLCC

Information about “1326628322” NPI (ADVANCED MOBILE PEDIATRICS PLCC) exists in 1326628322 in HTML format HTML  |  1326628322 in plain Text format TXT  |  1326628322 in PDF (Portable Document Format) PDF  |  1326628322 in an XML format XML  formats.

NPI Number : 1326628322 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326628322",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCED MOBILE PEDIATRICS PLCC",
    "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": "50 TOWER HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIMFIELD",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01010-9756",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-726-1390",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "50 TOWER HILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIMFIELD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01010-9756",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-726-1390",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2021",
    "LastUpdateDate": "04/13/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HEBERT",
    "AuthorizedOfficialFirstName": "ERIC",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OWNER/NURSE PRACTITIONER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CNP",
    "AuthorizedOfficialTelephoneNumber": "413-726-1390",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "305S00000X",
          "TaxonomyName": "Point of Service",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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