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1518302116 NPI number — MASTER HOLISTIC FORMULATIONS

NPI Number: 1518302116
Health Care Provider/Practitioner: MASTER HOLISTIC FORMULATIONS

Information about “1518302116” NPI (MASTER HOLISTIC FORMULATIONS) exists in 1518302116 in HTML format HTML  |  1518302116 in plain Text format TXT  |  1518302116 in PDF (Portable Document Format) PDF  |  1518302116 in an XML format XML  formats.

NPI Number : 1518302116 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518302116",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MASTER HOLISTIC FORMULATIONS",
    "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": "601 N CONGRESS AVE STE 415",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELRAY BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33445-4640",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14000 S MILITARY TRL STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELRAY BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33484-2600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-211-5538",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2013",
    "LastUpdateDate": "05/08/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GERHARDT",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHEIF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "866-211-5538",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "173C00000X",
          "TaxonomyName": "Reflexologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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