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1437480761 NPI number — HOLISTIC HEALTH SERVICE OF NE OHIO

NPI Number: 1437480761
Health Care Provider/Practitioner: HOLISTIC HEALTH SERVICE OF NE OHIO

Information about “1437480761” NPI (HOLISTIC HEALTH SERVICE OF NE OHIO) exists in 1437480761 in HTML format HTML  |  1437480761 in plain Text format TXT  |  1437480761 in PDF (Portable Document Format) PDF  |  1437480761 in an XML format XML  formats.

NPI Number : 1437480761 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437480761",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOLISTIC HEALTH SERVICE OF NE OHIO",
    "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": "250 RICHMOND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND HEIGHTS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44143-1407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-556-0604",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "250 RICHMOND RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND HEIGHTS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44143-1407",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-556-0604",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/27/2010",
    "LastUpdateDate": "07/12/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DALE",
    "AuthorizedOfficialFirstName": "NANCY",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "NURSE PRACTITIONER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CNP",
    "AuthorizedOfficialTelephoneNumber": "216-556-0604",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "NP03562",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": "RN179386",
          "LicenseNumberStateCode": "OH",
          "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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