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1407668379 NPI number — MILES OF CARE SOUTHWEST

NPI Number: 1407668379
Health Care Provider/Practitioner: MILES OF CARE SOUTHWEST

Information about “1407668379” NPI (MILES OF CARE SOUTHWEST) exists in 1407668379 in HTML format HTML  |  1407668379 in plain Text format TXT  |  1407668379 in PDF (Portable Document Format) PDF  |  1407668379 in an XML format XML  formats.

NPI Number : 1407668379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407668379",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MILES OF CARE DIVISIONS",
    "ParentOrgTIN": null,
    "OrgName": "MILES OF CARE SOUTHWEST",
    "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": "P.O. BOX 437432",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "ILLINOIS",
    "MailingAddressPostalCode": "60643",
    "MailingAddressCountryCode": "UM",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10408 S WESTERN AVE STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60643-2508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-438-2525",
    "PracticeLocationAddressFaxNumber": "708-933-3459",
    "EnumerationDate": "01/27/2025",
    "LastUpdateDate": "02/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LITTLE",
    "AuthorizedOfficialFirstName": "TAMMISHIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "844-438-2525",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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