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1518359900 NPI number — NEUROMOD SCIENCES

NPI Number: 1518359900
Health Care Provider/Practitioner: NEUROMOD SCIENCES

Information about “1518359900” NPI (NEUROMOD SCIENCES) exists in 1518359900 in HTML format HTML  |  1518359900 in plain Text format TXT  |  1518359900 in PDF (Portable Document Format) PDF  |  1518359900 in an XML format XML  formats.

NPI Number : 1518359900 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518359900",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEUROMOD SCIENCES",
    "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": "1601 DOVE ST",
    "SecondLineMailingAddress": "SUITE 299",
    "MailingAddressCityName": "NEWPORT BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92660-2433",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-851-3086",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1601 DOVE ST",
    "SecondLinePracticeLocationAddress": "SUITE 299",
    "PracticeLocationAddressCityName": "NEWPORT BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92660-2433",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-851-3086",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2015",
    "LastUpdateDate": "02/23/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STOLFUS",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "949-851-3086",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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