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1366145625 NPI number — PATHWAY TO RECOVERY LLC

NPI Number: 1366145625
Health Care Provider/Practitioner: PATHWAY TO RECOVERY LLC

Information about “1366145625” NPI (PATHWAY TO RECOVERY LLC) exists in 1366145625 in HTML format HTML  |  1366145625 in plain Text format TXT  |  1366145625 in PDF (Portable Document Format) PDF  |  1366145625 in an XML format XML  formats.

NPI Number : 1366145625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366145625",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PATHWAY TO RECOVERY LLC",
    "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": "19 FAIRBANKS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST PROVIDENCE",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02914-1913",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-493-6064",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "59 BROADWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAUNTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02780-3120",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-493-6064",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2023",
    "LastUpdateDate": "01/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FITZGERALD",
    "AuthorizedOfficialFirstName": "BETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "NP/MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "508-386-0916",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2500X",
        "TaxonomyName": "Medical Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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