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1548034507 NPI number — FIXTPT LAWRENCEVILLE LLC

NPI Number: 1548034507
Health Care Provider/Practitioner: FIXTPT LAWRENCEVILLE LLC

Information about “1548034507” NPI (FIXTPT LAWRENCEVILLE LLC) exists in 1548034507 in HTML format HTML  |  1548034507 in plain Text format TXT  |  1548034507 in PDF (Portable Document Format) PDF  |  1548034507 in an XML format XML  formats.

NPI Number : 1548034507 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548034507",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FIXTPT LAWRENCEVILLE 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": "455 PHILIP BLVD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30046-8767",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-799-7050",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "455 PHILIP BLVD STE 135",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWRENCEVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30046-8767",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-799-7050",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/09/2023",
    "LastUpdateDate": "12/18/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOROKHOV",
    "AuthorizedOfficialFirstName": "PAVEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINIC DIRECTOR/PT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT",
    "AuthorizedOfficialTelephoneNumber": "404-779-7050",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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