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1548690936 NPI number — PENSACOLA HOUSE CALLS,LLC

NPI Number: 1548690936
Health Care Provider/Practitioner: PENSACOLA HOUSE CALLS,LLC

Information about “1548690936” NPI (PENSACOLA HOUSE CALLS,LLC) exists in 1548690936 in HTML format HTML  |  1548690936 in plain Text format TXT  |  1548690936 in PDF (Portable Document Format) PDF  |  1548690936 in an XML format XML  formats.

NPI Number : 1548690936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548690936",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PENSACOLA HOUSE CALLS,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": "5040 YESTEROAKS CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32504-4316",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-377-5268",
    "MailingAddressFaxNumber": "850-474-1892",
    "FirstLinePracticeLocationAddress": "5040 YESTEROAKS CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32504-4316",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-377-5268",
    "PracticeLocationAddressFaxNumber": "850-474-1892",
    "EnumerationDate": "11/21/2013",
    "LastUpdateDate": "11/21/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAST",
    "AuthorizedOfficialFirstName": "STEPHEN",
    "AuthorizedOfficialMiddleName": "D.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PA-C",
    "AuthorizedOfficialTelephoneNumber": "850-377-5268",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "PA1962",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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