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1376940379 NPI number — ACCESS INSURANCE

NPI Number: 1376940379
Health Care Provider/Practitioner: ACCESS INSURANCE

Information about “1376940379” NPI (ACCESS INSURANCE) exists in 1376940379 in HTML format HTML  |  1376940379 in plain Text format TXT  |  1376940379 in PDF (Portable Document Format) PDF  |  1376940379 in an XML format XML  formats.

NPI Number : 1376940379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376940379",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACCESS INSURANCE",
    "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": "916 VILLAGE SQ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRETNA",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68028-7854",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-504-4441",
    "MailingAddressFaxNumber": "402-206-2222",
    "FirstLinePracticeLocationAddress": "916 VILLAGE SQ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRETNA",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68028-7854",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-544-4441",
    "PracticeLocationAddressFaxNumber": "402-206-2222",
    "EnumerationDate": "11/20/2014",
    "LastUpdateDate": "11/20/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOKOWSKI",
    "AuthorizedOfficialFirstName": "NICK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "402-554-4441",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "252Y00000X",
        "TaxonomyName": "Early Intervention Provider Agency",
        "LicenseNumber": "3195156",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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