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1578707436 NPI number — FEATHERS OF FLIGHT L.L.C.

NPI Number: 1578707436
Health Care Provider/Practitioner: FEATHERS OF FLIGHT L.L.C.

Information about “1578707436” NPI (FEATHERS OF FLIGHT L.L.C.) exists in 1578707436 in HTML format HTML  |  1578707436 in plain Text format TXT  |  1578707436 in PDF (Portable Document Format) PDF  |  1578707436 in an XML format XML  formats.

NPI Number : 1578707436 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578707436",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FEATHERS OF FLIGHT L.L.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30872 N ROYAL OAK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUEEN CREEK",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85243-4173",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-560-5518",
    "MailingAddressFaxNumber": "480-383-6233",
    "FirstLinePracticeLocationAddress": "30872 N ROYAL OAK WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "QUEEN CREEK",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85243-4173",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-560-5518",
    "PracticeLocationAddressFaxNumber": "480-383-6233",
    "EnumerationDate": "04/22/2009",
    "LastUpdateDate": "04/22/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ISHAM",
    "AuthorizedOfficialFirstName": "STEVEN",
    "AuthorizedOfficialMiddleName": "RAY",
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "PROF.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.A. / L.B.S.W",
    "AuthorizedOfficialTelephoneNumber": "480-471-7179",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "BH-3282",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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