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1447567755 NPI number — SRR TREATMENT SOLUTIONS, LLC

NPI Number: 1447567755
Health Care Provider/Practitioner: SRR TREATMENT SOLUTIONS, LLC

Information about “1447567755” NPI (SRR TREATMENT SOLUTIONS, LLC) exists in 1447567755 in HTML format HTML  |  1447567755 in plain Text format TXT  |  1447567755 in PDF (Portable Document Format) PDF  |  1447567755 in an XML format XML  formats.

NPI Number : 1447567755 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447567755",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SRR TREATMENT SOLUTIONS, 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": "8930 STANFORD BLVD STE M100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21045-5805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-285-0807",
    "MailingAddressFaxNumber": "443-285-0527",
    "FirstLinePracticeLocationAddress": "8930 STANFORD BLVD STE M100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21045-5805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-285-0807",
    "PracticeLocationAddressFaxNumber": "443-285-0527",
    "EnumerationDate": "09/08/2010",
    "LastUpdateDate": "03/25/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "POWELL",
    "AuthorizedOfficialFirstName": "TERON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS",
    "AuthorizedOfficialTelephoneNumber": "443-285-0807",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2800X",
        "TaxonomyName": "Methadone Clinic",
        "LicenseNumber": "904027",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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