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1508201153 NPI number — AMERICAN ADVANCED NURSING AND REHAB

NPI Number: 1508201153
Health Care Provider/Practitioner: AMERICAN ADVANCED NURSING AND REHAB

Information about “1508201153” NPI (AMERICAN ADVANCED NURSING AND REHAB) exists in 1508201153 in HTML format HTML  |  1508201153 in plain Text format TXT  |  1508201153 in PDF (Portable Document Format) PDF  |  1508201153 in an XML format XML  formats.

NPI Number : 1508201153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508201153",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMERICAN ADVANCED NURSING AND REHAB",
    "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": "10708 CROYDON CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODSTOCK",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21163",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-750-8042",
    "MailingAddressFaxNumber": "410-750-8042",
    "FirstLinePracticeLocationAddress": "10708 CROYDON CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODSTOCK",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21163",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-750-8042",
    "PracticeLocationAddressFaxNumber": "410-750-8042",
    "EnumerationDate": "05/08/2013",
    "LastUpdateDate": "05/08/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROY",
    "AuthorizedOfficialFirstName": "SUJA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CRNP",
    "AuthorizedOfficialTelephoneNumber": "410-750-8042",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "22467",
        "LicenseNumberStateCode": "MD",
        "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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