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1588837454 NPI number — AMBUCARE CLINIC P.C.

NPI Number: 1588837454
Health Care Provider/Practitioner: AMBUCARE CLINIC P.C.

Information about “1588837454” NPI (AMBUCARE CLINIC P.C.) exists in 1588837454 in HTML format HTML  |  1588837454 in plain Text format TXT  |  1588837454 in PDF (Portable Document Format) PDF  |  1588837454 in an XML format XML  formats.

NPI Number : 1588837454 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588837454",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMBUCARE CLINIC P.C.",
    "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": "24249 AMANDA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NOVI",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48375-5707",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-978-7638",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12125 CONANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMTRAMCK",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48212-2718",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-891-1500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/10/2008",
    "LastUpdateDate": "04/10/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KONDUR",
    "AuthorizedOfficialFirstName": "ASHOK",
    "AuthorizedOfficialMiddleName": "K",
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "248-978-7638",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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