NPI Code Detail JSON Logo

1538343231 NPI number — SANDY VALLEY PROF INC

NPI Number: 1538343231
Health Care Provider/Practitioner: SANDY VALLEY PROF INC

Information about “1538343231” NPI (SANDY VALLEY PROF INC) exists in 1538343231 in HTML format HTML  |  1538343231 in plain Text format TXT  |  1538343231 in PDF (Portable Document Format) PDF  |  1538343231 in an XML format XML  formats.

NPI Number : 1538343231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538343231",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SANDY VALLEY PROF INC",
    "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": "PO BOX 419",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST SPARTA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44626-0419",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-866-3309",
    "MailingAddressFaxNumber": "330-866-3077",
    "FirstLinePracticeLocationAddress": "10025 CLEVELAND AVE SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAGNOLIA",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44643-9781",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-866-3309",
    "PracticeLocationAddressFaxNumber": "330-866-3077",
    "EnumerationDate": "12/18/2007",
    "LastUpdateDate": "01/03/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NICOLETTI",
    "AuthorizedOfficialFirstName": "FRANCESCA",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "330-866-3309",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "75313",
        "LicenseNumberStateCode": "OH",
        "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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