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1366718165 NPI number — NEUROCARE ELECTRODIAGNOSTICS A

NPI Number: 1366718165
Health Care Provider/Practitioner: NEUROCARE ELECTRODIAGNOSTICS A

Information about “1366718165” NPI (NEUROCARE ELECTRODIAGNOSTICS A) exists in 1366718165 in HTML format HTML  |  1366718165 in plain Text format TXT  |  1366718165 in PDF (Portable Document Format) PDF  |  1366718165 in an XML format XML  formats.

NPI Number : 1366718165 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366718165",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEUROCARE ELECTRODIAGNOSTICS A",
    "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 1231",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOLSOM",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95763-1231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-947-1980",
    "MailingAddressFaxNumber": "916-941-0153",
    "FirstLinePracticeLocationAddress": "4987 GOLDEN FOOTHILL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL DORADO HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95762-9364",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-947-1980",
    "PracticeLocationAddressFaxNumber": "916-941-0153",
    "EnumerationDate": "03/26/2012",
    "LastUpdateDate": "04/02/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHITE",
    "AuthorizedOfficialFirstName": "DARIN",
    "AuthorizedOfficialMiddleName": "MICHAEL",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT,DPT,ECS",
    "AuthorizedOfficialTelephoneNumber": "916-947-1980",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2251E1300X",
        "TaxonomyName": "Clinical Electrophysiology Physical Therapist",
        "LicenseNumber": "PT26416",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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