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1518233097 NPI number — NCI AFFILIATES, INCORPORATED

NPI Number: 1518233097
Health Care Provider/Practitioner: NCI AFFILIATES, INCORPORATED

Information about “1518233097” NPI (NCI AFFILIATES, INCORPORATED) exists in 1518233097 in HTML format HTML  |  1518233097 in plain Text format TXT  |  1518233097 in PDF (Portable Document Format) PDF  |  1518233097 in an XML format XML  formats.

NPI Number : 1518233097 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518233097",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NCI AFFILIATES, INCORPORATED",
    "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": "496 LINNE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASO ROBLES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93446-7470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-238-6630",
    "MailingAddressFaxNumber": "805-239-9073",
    "FirstLinePracticeLocationAddress": "496 LINNE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PASO ROBLES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93446-7470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-238-6630",
    "PracticeLocationAddressFaxNumber": "805-239-9073",
    "EnumerationDate": "03/28/2012",
    "LastUpdateDate": "03/29/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NEVOSH",
    "AuthorizedOfficialFirstName": "CRYSTAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.S.",
    "AuthorizedOfficialTelephoneNumber": "805-238-6630",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320900000X",
        "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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