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1528482296 NPI number — O'CANA LIFE WORKS, LLC

NPI Number: 1528482296
Health Care Provider/Practitioner: O'CANA LIFE WORKS, LLC

Information about “1528482296” NPI (O'CANA LIFE WORKS, LLC) exists in 1528482296 in HTML format HTML  |  1528482296 in plain Text format TXT  |  1528482296 in PDF (Portable Document Format) PDF  |  1528482296 in an XML format XML  formats.

NPI Number : 1528482296 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528482296",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "O'CANA LIFE WORKS, LLC",
    "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": "6423 RAMBLING TRAIL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78240-5503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-687-9711",
    "MailingAddressFaxNumber": "210-568-4066",
    "FirstLinePracticeLocationAddress": "13620 NW MILITARY HWY BLDG 3",
    "SecondLinePracticeLocationAddress": "SUITE 4",
    "PracticeLocationAddressCityName": "SHAVANO PARK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78231-1875",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-687-9711",
    "PracticeLocationAddressFaxNumber": "210-568-4066",
    "EnumerationDate": "02/14/2014",
    "LastUpdateDate": "02/14/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "O'CANA",
    "AuthorizedOfficialFirstName": "RHONDA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "L.P.C.",
    "AuthorizedOfficialTelephoneNumber": "210-687-9711",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "19165",
        "LicenseNumberStateCode": "TX",
        "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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