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1376009894 NPI number — BRIGHTVIEW BETHESDA WOODMONT, LLC

NPI Number: 1376009894
Health Care Provider/Practitioner: BRIGHTVIEW BETHESDA WOODMONT, LLC

Information about “1376009894” NPI (BRIGHTVIEW BETHESDA WOODMONT, LLC) exists in 1376009894 in HTML format HTML  |  1376009894 in plain Text format TXT  |  1376009894 in PDF (Portable Document Format) PDF  |  1376009894 in an XML format XML  formats.

NPI Number : 1376009894 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376009894",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRIGHTVIEW BETHESDA WOODMONT, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4907 RUGBY AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BETHESDA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20814",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-800-7566",
    "MailingAddressFaxNumber": "240-630-5316",
    "FirstLinePracticeLocationAddress": "4907 RUGBY AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-800-7566",
    "PracticeLocationAddressFaxNumber": "240-630-5316",
    "EnumerationDate": "02/20/2019",
    "LastUpdateDate": "11/03/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOLLENBERG",
    "AuthorizedOfficialFirstName": "DOUG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "410-952-0595",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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