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1568273738 NPI number — PLEASANT PEDIATRICS PLC

NPI Number: 1568273738
Health Care Provider/Practitioner: PLEASANT PEDIATRICS PLC

Information about “1568273738” NPI (PLEASANT PEDIATRICS PLC) exists in 1568273738 in HTML format HTML  |  1568273738 in plain Text format TXT  |  1568273738 in PDF (Portable Document Format) PDF  |  1568273738 in an XML format XML  formats.

NPI Number : 1568273738 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568273738",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PLEASANT PEDIATRICS PLC",
    "ParentOrgTIN": null,
    "OrgName": "PLEASANT PEDIATRICS PLC",
    "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": "10180 W HAPPY VALLEY PKWY STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEORIA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85383-1389",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-322-3380",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "41930 N VENTURE DR STE 160",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85086-3860",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-322-3380",
    "PracticeLocationAddressFaxNumber": "623-322-4399",
    "EnumerationDate": "01/16/2025",
    "LastUpdateDate": "01/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAVI",
    "AuthorizedOfficialFirstName": "PRASAD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRACTICE MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "623-322-3380",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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