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1538598362 NPI number — CAPITAL SPORTS MEDICINE LLC

NPI Number: 1538598362
Health Care Provider/Practitioner: CAPITAL SPORTS MEDICINE LLC

Information about “1538598362” NPI (CAPITAL SPORTS MEDICINE LLC) exists in 1538598362 in HTML format HTML  |  1538598362 in plain Text format TXT  |  1538598362 in PDF (Portable Document Format) PDF  |  1538598362 in an XML format XML  formats.

NPI Number : 1538598362 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538598362",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAPITAL SPORTS MEDICINE 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": "8630 FENTON ST",
    "SecondLineMailingAddress": "SUITE 613",
    "MailingAddressCityName": "SILVER SPRING",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20910-3806",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-328-0186",
    "MailingAddressFaxNumber": "301-328-0266",
    "FirstLinePracticeLocationAddress": "8630 FENTON ST",
    "SecondLinePracticeLocationAddress": "SUITE 613",
    "PracticeLocationAddressCityName": "SILVER SPRING",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20910-3806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-328-0186",
    "PracticeLocationAddressFaxNumber": "301-328-0266",
    "EnumerationDate": "11/02/2013",
    "LastUpdateDate": "11/23/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AUNE",
    "AuthorizedOfficialFirstName": "CARSON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C., M.S.",
    "AuthorizedOfficialTelephoneNumber": "301-328-0186",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "S03675",
        "LicenseNumberStateCode": "MD",
        "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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