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1548357759 NPI number — ORTHO CARE, INC

NPI Number: 1548357759
Health Care Provider/Practitioner: ORTHO CARE, INC

Information about “1548357759” NPI (ORTHO CARE, INC) exists in 1548357759 in HTML format HTML  |  1548357759 in plain Text format TXT  |  1548357759 in PDF (Portable Document Format) PDF  |  1548357759 in an XML format XML  formats.

NPI Number : 1548357759 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548357759",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ORTHO CARE, 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": "10 PROSPECT ST",
    "SecondLineMailingAddress": "1ST FLOOR",
    "MailingAddressCityName": "WESTFIELD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07090-2114",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-232-9910",
    "MailingAddressFaxNumber": "908-232-9915",
    "FirstLinePracticeLocationAddress": "10 PROSPECT ST",
    "SecondLinePracticeLocationAddress": "1ST FLOOR",
    "PracticeLocationAddressCityName": "WESTFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07090-2114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-232-9910",
    "PracticeLocationAddressFaxNumber": "908-232-9915",
    "EnumerationDate": "10/07/2006",
    "LastUpdateDate": "04/11/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIDDELL",
    "AuthorizedOfficialFirstName": "JULIA",
    "AuthorizedOfficialMiddleName": "MOOERS",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPO, BOCPO, C.PED.",
    "AuthorizedOfficialTelephoneNumber": "908-232-9910",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "45PO00014100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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